| Doctor Name: | MRS. TAMARA REGINA FREDA |
| NPI Number: | 1710121611 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D., L.D. |
| License Number: | DN000932 |
| Business Practice Address: | 435 Scranton Carbondale Hwy 3rd Floor Scranton, PA - 185081115 |
| Business Phone Number: | 5703434334 |
| Business Fax Number: | |
| Mailing Address: | 214 Carpenter Hill Rd, SOUTH ABINGTON TOWNSHIP |
| State: | PA |
| Postal Code: | 184112915 |
| Phone Number: | 5705866196 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2009 |
| NPI Last Update Date: | 04/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DN000932 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |