Individual
MRS. TINA FREIWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
622 FARREN ST, PORTAGE, PA 15946-1618
(814) 243-5123
Mailing address
622 FARREN ST, PORTAGE, PA 15946-1618
(814) 243-5123
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001529
PA
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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