Provider Demographics
NPI:1396617338
Name:ZALESKI, VICTORIA (RDN)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:ZALESKI
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 SUGARTREE RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-1505
Mailing Address - Country:US
Mailing Address - Phone:423-930-6377
Mailing Address - Fax:
Practice Address - Street 1:3500 SUGARTREE RD
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-1505
Practice Address - Country:US
Practice Address - Phone:423-930-6377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4048133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered