Individual
TIANE BIANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6322 FARMSWOOD DRIVE APT 1B, FORT WAYNE, IN 46804
(260) 385-4123
Mailing address
6322 FARMSWOOD DR APT 1B, FORT WAYNE, IN 46804-8329
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1105799
IN
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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