Individual
JILLIAN QUIN TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2003 FRANKELLA AVE, PITTSBURGH, PA 15221-1507
(570) 618-5006
Mailing address
2003 FRANKELLA AVE, PITTSBURGH, PA 15221-1507
(570) 618-5006
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1318
WV
Other
Enumeration date
03/03/2021
Last updated
09/30/2024
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