Individual
TAZHARAE BENINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 HICKORY ST, KERSEY, PA 15846-9253
(814) 594-8930
Mailing address
117 HICKORY ST, KERSEY, PA 15846-9253
(814) 594-8930
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2521
SC
133V00000X
Registered Dietitian
4846
MN
133V00000X
Registered Dietitian
Primary
DN006266
PA
133V00000X
Registered Dietitian
DX5748
MD
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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