Individual
TRICIA MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
380 9TH ST, FLORENCE, OR 97439-9470
(541) 902-6059
Mailing address
1312 SITKA CT SW, ALBANY, OR 97321-3617
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10199027
OR
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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