Individual
MRS. PATRICIA LYNN TITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3318
(573) 686-4151
(573) 778-4161
Mailing address
500 E SUE DR, MALDEN, MO 63863-9516
(573) 276-4357
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001022421
MO
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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