Tara Lyn Cloutier, RD
Dietitian, Registered in Buffalo, NY. Individual provider (NPI-1).
NPI number1013662238
StatusActive
Last updated in NPPESFeb 16, 2022
Details
- NPI
- 1013662238
- Entity type
- Individual (NPI-1)
- Name
- Tara Lyn Cloutier
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 16, 2022
- Certification date
- Feb 16, 2022
- Last updated
- Feb 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | NY | Yes |
Practice location
307 East StBuffalo, NY 14207-2516
Phone 716-860-1731
Mailing address
307 East StBuffalo, NY 14207-2516
Phone 716-860-1731
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