Individual
MOLLY TARBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3220 PROVIDENCE DR, SUITE E3-030, ANCHORAGE, AK 99508-4679
(907) 212-7982
(907) 212-7981
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
212
AK
133VN1004X
Pediatric Nutrition Registered Dietitian
LD0780
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619753
—
AK
Enumeration date
10/15/2010
Last updated
10/17/2016
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