Tara S Buckley, RD Valid NPI
Individual provider · Registered Dietitian · Fort Lewis, WA
- NPI
- 1467414979
- Type
- Individual (Type 1)
- Primary specialty
- Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133V00000X
- License number
- DT06716 (TX)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-04-03
- Last updated
- 2008-04-17
Practice location
Commander / Madigan Army Medical Center, Nutrition Care Division
Fort Lewis, WA 98431
(253) 968-0563