Individual
CLARENCE DAVID TAWNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
109 MORRISON DR, PRINCETON, WV 24740-2322
(304) 487-7639
(304) 487-7693
Mailing address
315 DEER RUN DR, PEARISBURG, VA 24134-2384
(540) 599-5055
(304) 487-7693
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1517
WV
Other
Enumeration date
06/17/2024
Last updated
06/28/2024
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