Individual
MRS. TIFFANY AUTUMN SWARTZENTRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSO, CD
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2455
(574) 364-2544
Mailing address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-2455
(574) 364-2544
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001894A
IN
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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