DR. Jill R Tieman, D.C.

NPI #1215022538 in Bayport, New York

Provider Information

NPI Number: 1215022538
Entity Type: Individual
Name: DR. Jill R Tieman, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor - Nutrition
Credential: D.C.
Enumeration Date: Oct 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 671 MONTAUK HWY
Address 2: SUITE A
City: Bayport
State: New York
ZIP Code: 11705-1607
Phone: (631) 472-1095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Nutrition — Nutrition	111NN1001X	Primary

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