Individual
TAMARA ARLEEN REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1780 HANSHAW RD, ITHACA, NY 14850
(607) 257-5858
(607) 257-1718
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006613
NY
Other
Enumeration date
02/24/2011
Last updated
03/11/2021
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