Individual
TESSA BALISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10521 OAK HILL DR, PORT RICHEY, FL 34668-2927
(813) 748-1119
Mailing address
10521 OAK HILL DR, PORT RICHEY, FL 34668-2927
(813) 748-1119
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND10468
FL
Other
Enumeration date
10/10/2022
Last updated
10/21/2022
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