Individual
TIFFANY MARIE TUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
14719 W GRAND AVE, SURPRISE, AZ 85374-7203
(623) 471-9355
(623) 213-8523
Mailing address
14719 W GRAND AVE, SURPRISE, AZ 85374-7203
(623) 471-9355
(623) 213-8523
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
WDLKLMN212FB
WA
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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