Individual
LAURA TANGUTURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1341 CANTON RD STE B, MARIETTA, GA 30066-6056
(980) 296-0044
Mailing address
468 HAROLD AVE NE, ATLANTA, GA 30307-1740
(404) 825-5074
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
LD003877
GA
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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