Individual
MRS. CAROL MARIA TESSITORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CN
Contact information
Practice address
6280 N MONTANA AVE APT 103, PORTLAND, OR 97217-4798
(718) 564-3281
Mailing address
6280 N MONTANA AVE APT 103, PORTLAND, OR 97217-4798
(718) 564-3281
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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