Individual
MRS. TARA LYNN FIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1718 E 4TH ST, CHARLOTTE, NC 28204-3261
(704) 384-7398
Mailing address
2085 FRONTIS PLAZA BLVD, WINSTON SALEM, NC 27103-5614
(336) 277-1065
(336) 277-9274
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002819
NC
Other
Enumeration date
08/03/2006
Last updated
01/25/2010
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