Individual
ERIN KATHLEEN TIFFANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN, CNSC
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7854
Mailing address
593 BRYN MAWR RD, HONESDALE, PA 18431-7884
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
996762
PA
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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