Individual
MS. TABITHA B MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3156 KENSINGTON AVE, ESPERANZA HEALTH CENTER, PHILADELPHIA, PA 19134-2400
(215) 831-1100
Mailing address
3156 KENSINGTON AVE, ESPERANZA HEALTH CENTER, PHILADELPHIA, PA 19134-2400
(215) 831-1100
(215) 807-8951
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003370
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101520151
—
PA
Enumeration date
10/23/2006
Last updated
06/02/2008
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