Doctor Name: | MRS. TARA ELIZABETH MARINO |
NPI Number: | 1346621638 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 959124 |
Business Practice Address: | 405 14th St Suite 610 Oakland, CA - 946122715 |
Business Phone Number: | 5109228208 |
Business Fax Number: | |
Mailing Address: | 1230 Pease Ct, ALAMEDA |
State: | CA |
Postal Code: | 945014617 |
Phone Number: | 5107556909 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2015 |
NPI Last Update Date: | 06/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 959124 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |