NPI 1184363954

Tearsa Debardeleben, RDLD

Practitioner Registered Dietitian Tamuning, GU

Practice location

Address: 388 Ypao Rd # 9, Tamuning, GU 96913-3701
Phone: (671) 777-4501
Mailing address: 388 Ypao Rd, Tamuning, GU 96913-3701

Registered specialties (3)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D-055 (GU)

Other Dietitian, Registered providers in Guam →

Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence D-055 (GU)

Other Nutritionist providers in Guam →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DT85534 (TX)

Registry record

NPI: 1184363954
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 May 2022
Record last updated: 19 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.