| Mrs Tenisha D Tavares, RD | |
|
1338 Phay Ave, Canon City, CO 81212-2302 | |
| (719) 285-2025 | |
| Not Available |
| Full Name | Mrs Tenisha D Tavares |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1338 Phay Ave, Canon City, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740474352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tenisha D Tavares, RD 1338 Phay Ave, Canon City, CO 81212-2302 Ph: (719) 285-2025 | Mrs Tenisha D Tavares, RD 1338 Phay Ave, Canon City, CO 81212-2302 Ph: (719) 285-2025 |
Anna Kristin Payne, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 943 Short St, Canon City, CO 81212 Phone: 719-426-1899 | |
Mr. Dave Earl Egerdahl, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2025 Fax: 719-285-2277 | |
Soco Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 943 Short St, Canon City, CO 81212 Phone: 719-426-1899 | |
Miriam Loomis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2548 | |
Mrs. Christine Nicole Lewis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2034 Fax: 719-285-2277 |