Tenisha D Tavares, RD
Dietitian, Registered in Canon City, CO. Individual provider (NPI-1).
NPI number1740474352
StatusActive
Last updated in NPPESAug 28, 2007
Details
- NPI
- 1740474352
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tenisha D Tavares
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2007
- Last updated
- Aug 28, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
1338 Phay AveCanon City, CO 81212-2302
Phone 719-285-2025
Mailing address
1338 Phay AveCanon City, CO 81212-2302
Phone 719-285-2025
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Other Registered Dietitian providers in Canon City, CO
- Dave Earl Egerdahl, R.D.NPI 1043441371
- Christine Nicole Lewis, RDNPI 1922157114
- Miriam Loomis, RDNPI 1689189227
- Anna Kristin Payne, RDNNPI 1003205527
- Soco Nutrition, LLCNPI 1336731371
All 6 Registered Dietitian providers in Canon City · All 907 providers in Canon City
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