Individual
TIMOTHY DALESANDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, CNSC
Contact information
Practice address
2474 TIMOTHY KNOLL LN, POLAND, OH 44514-2546
(330) 398-0077
Mailing address
2474 TIMOTHY KNOLL LN, POLAND, OH 44514-2546
(330) 398-0077
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86098253
OH
Other
Enumeration date
08/07/2021
Last updated
08/07/2021
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