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Contact Information

VALORA J TOM, RD, LD, CDE
CORNER OF RT N12 & N7
FORT DEFIANCE, AZ86504
 Phone: 928-729-8828
 Fax: 928-729-8045
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for VALORA J TOM · (Female)

NPI Number 1790934818
Status Active
Credentials RD, LD, CDE
Entity Individual
Enumeration date 09/12/2008
Last updated 10/08/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 978588
  • NM License # 0816
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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