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Organization

THE NUTRITION SPECIALIST, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TANYA L WILLIAMS RD, LDN (CLINICAL DIETITIAN)
(570) 745-3776
Entity
Organization

Contact information

Practice address
460 MARKET ST, SUITE 212, WILLIAMSPORT, PA 17701-6385
(570) 745-3776
Mailing address
460 MARKET ST, SUITE 212, WILLIAMSPORT, PA 17701-6385
(570) 745-3776

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003227
PA
133V00000X
Registered Dietitian
DN004977
PA

Other

Enumeration date
12/11/2013
Last updated
12/11/2013
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