Individual
DIANNE ROUGEAU-TINGEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
255 N 30TH ST, LARAMIE, WY 82072-5140
(307) 755-4461
Mailing address
255 N 30TH ST, LARAMIE, WY 82072-5140
(307) 755-4461
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
149
WY
133V00000X
Registered Dietitian
Primary
149
WY
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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