Tiffany Lachelle Avera Valid NPI

Individual provider · Pediatric Nutrition Registered Dietitian · Atlanta, GA

NPI

1447592985

Type

Individual (Type 1)

Primary specialty

Pediatric Nutrition Registered Dietitian (Dietitian, Registered)

Specialty group

Dietary & Nutritional Service Providers

Taxonomy code

133VN1004X

License number

LD003667 (GA)

Sex

Female

Sole proprietor

Yes

Enumerated

2013-03-22

Last updated

2013-03-22