MRS. Jeni Diane Tackett, RD
NPI #1366819690 in East Moline, Illinois
Provider Information
- NPI Number
- 1366819690
- Entity Type
- Individual
- Name
- MRS. Jeni Diane Tackett, RD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- RD
- Enumeration Date
- Aug 21, 2015
- Last Updated
- Aug 21, 2015
Practice Location
- Address
- 3928 172ND ST N
- City
- East Moline
- State
- Illinois
- ZIP Code
- 61244-9728
- Phone
- (309) 230-9517
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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