NPI 1740474352

Tenisha D Tavares, RD

Practitioner Registered Dietitian Canon City, CO

Practice location

Address: 1338 Phay Ave, Canon City, CO 81212-2302
Phone: (719) 285-2025

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Colorado →

Registry record

NPI: 1740474352
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2007
Record last updated: 28 Aug 2007

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.