Individual
STACIA TIETJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
2141 OVERLOOK RD, CLEVELAND HEIGHTS, OH 44106-5995
(888) 364-5977
Mailing address
1295 BANDANA BLVD N STE 210, SAINT PAUL, MN 55108-5115
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10722
OH
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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