NPI Profile for DIABETIC NUTRITIONAL EDUCATION in PHOENIX, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nutrition, Education |
133NN1002X |
| NPI # | 1164534095 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/31/2006 | |
| Last updated | 01/28/2014 - About 12 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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