Individual
TANISHA SOUSA AMARAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
245 CHAPMAN ST STE 300, PROVIDENCE, RI 02905-4539
(401) 444-7152
Mailing address
117 ELLENFIELD ST, PROVIDENCE, RI 02905-4541
(401) 444-5640
(401) 444-5462
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN01134
RI
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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