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Individual

LEANNE SUMMER TIETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1 SCARLET KNIGHT WAY, PISCATAWAY, NJ 08854-8069
(732) 991-9358
Mailing address
28 INDIANA RD, SOMERSET, NJ 08873-2355

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
05/27/2021
Last updated
05/27/2021
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