Doctor Name: | MRS. TARA HANSON-TIMPSON |
NPI Number: | 1225179104 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, IBCLC |
License Number: | |
Business Practice Address: | 5555 Grossmont Center Dr La Mesa, CA - 919423019 |
Business Phone Number: | 8584933020 |
Business Fax Number: | 6197404723 |
Mailing Address: | 4605 Alma Pl, SAN DIEGO |
State: | CA |
Postal Code: | 921153508 |
Phone Number: | 6192658710 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |