Individual
STEPHANIE TARNACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 DUDLEY AVE, COLORADO SPRINGS, CO 80909-6014
(860) 918-8466
Mailing address
23 DUDLEY AVE, COLORADO SPRINGS, CO 80909-6014
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86147890
CO
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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