Organization
REAL FOOD LIFESTYLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNEA MERRITT TANNER RD (REGISTERED DIETITIAN)
(520) 289-6055
Entity
Organization
Contact information
Practice address
7400 N ORACLE RD, SUITE 162-S, TUCSON, AZ 85704-6331
(520) 289-6055
(520) 818-2939
Mailing address
39131 S RODEO BUCKLE DR, TUCSON, AZ 85739-5933
(520) 289-6055
(520) 818-2939
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/22/2015
Last updated
11/02/2015
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