Individual
MRS. TIFFANY CICCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
715 GREENS CREEK RD, GRANTS PASS, OR 97527-4415
(509) 570-4443
Mailing address
715 GREENS CREEK RD, GRANTS PASS, OR 97527-4415
(509) 570-4443
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
800427
OR
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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