| NPI | 1205024064 |
|---|---|
| Former Name | TERI RENEE GIORDANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2016002768) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-290116) |
| 183500000X Pharmacist (Licence: FL PS 39397) | |
| 133V00000X Dietitian, Registered (Licence: IL 164006124) | |
| 133V00000X Dietitian, Registered (Licence: MO 2016008551) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2017-03-27 |