Doctor Name: | MS. MARLENE TABOR |
NPI Number: | 1053627992 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | LDN0069 |
Business Practice Address: | 621 Dexter St Central Falls, RI - 028632603 |
Business Phone Number: | 4017219242 |
Business Fax Number: | |
Mailing Address: | 621 Dexter St, CENTRAL FALLS |
State: | RI |
Postal Code: | 028632603 |
Phone Number: | 4017219242 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2010 |
NPI Last Update Date: | 08/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LDN0069 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |