Individual
TAMRA PARISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
325 NEW CASTLE RD, BUTLER, PA 16001-2418
(724) 282-5504
Mailing address
119 RYLIE DR, HARMONY, PA 16037-7731
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006546
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86066556
COMMISSION ON DIETETIC REGISTRATION
PA
01
—
DN006546
PENNSYLVANIA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
07/16/2021
Last updated
07/16/2021
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