Individual
TARA LYNN GEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
700 SOUTH J STREET, LAKEVIEW, OR 97630-1623
(541) 947-2114
(541) 947-8102
Mailing address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 941-2114
(541) 947-8102
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10187143
OR
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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