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Individual

DR. DEBORA W TINGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, MS

Contact information

Practice address
909 ALVARADO RD, BERKELEY, CA 94705-1551
(415) 409-8996
Mailing address
2512 TELEGRAPH AVE # 140, BERKELEY, CA 94704-2918
(415) 409-8996

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
09/29/2022
Last updated
09/29/2022
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