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Contact Information

JUANITA L MARLETTE, RD
1200 N. BEAVER
PAYER CREDENTIALING
FLAGSTAFF, AZ86001
 Phone: 928-213-6235
 Fax: 928-213-6292
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for JUANITA L MARLETTE · (Female)

NPI Number 1275792475
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 06/03/2008
Last updated 03/13/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 816064
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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