Individual
DEANNEA TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7470
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(415) 881-7470
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/23/2015
Last updated
03/27/2025
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