Beverly Tata, R.D., L.D.

NPI #1013284470 in Oregon, Ohio

Provider Information

NPI Number: 1013284470
Entity Type: Individual
Name: Beverly Tata, R.D., L.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: R.D., L.D.
Enumeration Date: Nov 29, 2011
Last Updated: Nov 29, 2011

Practice Location

Address: 2801 BAY PARK DR
City: Oregon
State: Ohio
ZIP Code: 43616-4920
Phone: (419) 690-8722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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