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Individual

TONYA M. SOMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD/RDN/CDE

Contact information

Practice address
13100 E 136TH ST, FISHERS, IN 46037-9417
(317) 678-3100
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001695
IN

Other

Enumeration date
12/03/2013
Last updated
03/06/2014
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