MS. Tamara Jean Nisly, REGISTERED DIETICIAN
NPI #1386687648 in Cottonwood, Arizona
Provider Information
- NPI Number
- 1386687648
- Entity Type
- Individual
- Name
- MS. Tamara Jean Nisly, REGISTERED DIETICIAN
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dietitian, Registered
- Credential
- REGISTERED DIETICIAN
- Enumeration Date
- Jun 14, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 10 S 6TH ST
- City
- Cottonwood
- State
- Arizona
- ZIP Code
- 86326-4236
- Phone
- (928) 639-8130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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