Individual
TATIANA KEAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
327 PASEO MARGUERITA, VISTA, CA 92084-2560
(909) 362-1748
Mailing address
327 PASEO MARGUERITA, VISTA, CA 92084-2560
(909) 362-1748
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86091256
CA
133VN1006X
Metabolic Nutrition Registered Dietitian
86091256
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
86091256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86091256
REGISTERED DIETITIAN
CA
Enumeration date
09/03/2020
Last updated
09/03/2020
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