Individual
TYLER PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RD
Contact information
Practice address
1705 ELLSWORTH ST, PHILADELPHIA, PA 19146-3011
(910) 547-0590
Mailing address
1705 ELLSWORTH ST, PHILADELPHIA, PA 19146-3011
(910) 547-0590
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006982
PA
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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