Individual
TERESITA A. TIONGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559
(907) 543-6858
Mailing address
PO BOX 3024, BETHEL, AK 99559-3024
(907) 543-6858
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
02
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02
STATE LICENSED
AK
Enumeration date
04/17/2007
Last updated
07/08/2007
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