Individual
MS. LISA TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1914 REDSTONE RD, SOUTH CHARLESTON, WV 25309-9720
(304) 421-4405
(304) 345-5185
Mailing address
1914 REDSTONE RD, SOUTH CHARLESTON, WV 25309-9720
(304) 421-4405
(304) 345-5185
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
262
WV
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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