Individual
TARA ZADVINSKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
205 NORTH EAST AVE., JACKSON, MI 49201
(517) 788-4904
Mailing address
205 NORTH EAST ANDERSON, JACKSON, MI 49201
(517) 788-4904
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1065578
MI
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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