Organization Name: | REAL FOOD LIFESTYLE, LLC |
NPI Number: | 1588053029 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEANNEA MERRITT TANNER (REGISTERED DIETITIAN) |
Mailing Address: | 7400 N Oracle Rd Suite 162-s Tucson |
State: | AZ US |
Postal Code: | 857046331 |
Phone Number: | 5202896055 |
Fax Number: | 5208182939 |
NPI Enumeration Date: | 01/22/2015 |
NPI Last Update Date: | 11/02/2015 |
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 |