Individual
LEANNA TABATABAIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
532 MAIN ST STE 3, MOOSIC, PA 18507
(570) 457-2464
(570) 457-2492
Mailing address
532 MAIN ST STE 3, MOOSIC, PA 18507-1001
(570) 457-2464
(570) 457-2492
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004448
PA
Other
Enumeration date
03/09/2018
Last updated
09/08/2022
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