| Doctor Name: | TAMMY PETROSSIAN |
| NPI Number: | 1811210511 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, CSP, CNSD |
| License Number: | 816014 |
| Business Practice Address: | 1014 San Juan Ave Exeter, CA - 932211312 |
| Business Phone Number: | 5595927360 |
| Business Fax Number: | 5595925629 |
| Mailing Address: | 1631 E Forest Oaks Dr, FRESNO |
| State: | CA |
| Postal Code: | 937304535 |
| Phone Number: | 5594346332 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2010 |
| NPI Last Update Date: | 03/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 816014 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |