Individual
TARA REBELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RDN, CNSC
Contact information
Practice address
1124 E TIMBER RIDGE RD, PRESCOTT, AZ 86303-6407
(310) 384-1546
Mailing address
1124 E TIMBER RIDGE RD, PRESCOTT, AZ 86303-6407
(310) 384-1546
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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