Individual
TAMARA DERRISE MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
1970 BOULEVARD, SALEM, VA 24153-6404
(540) 982-2463
(540) 983-1059
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 983-1059
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
808605
VA
Other
Enumeration date
04/27/2006
Last updated
01/06/2014
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