Organization
TKS NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY K SINIBALDI RD (OWNER/ REGISTERED DIETITIAN)
(302) 897-2088
Entity
Organization
Contact information
Practice address
244 MANCHESTER WAY, MIDDLETOWN, DE 19709-2132
(302) 897-2088
(302) 376-9261
Mailing address
244 MANCHESTER WAY, MIDDLETOWN, DE 19709-2132
(302) 897-2088
(302) 376-9261
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
208206179
DE
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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