DOMINICA WILHEMINA DIEFFENBACH

PHOENIX, AZ
NPI1013427517
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: AZ  1004846)
Enumeration Date2017-10-10
Last Update Date2017-10-10
Business Address
DOMINICA WILHEMINA DIEFFENBACH RD
3141 N 3RD AVE
PHOENIX, AZ 85013-4360
Phone number: 602-914-1520
Mailing Address
DOMINICA WILHEMINA DIEFFENBACH RD
2929 E THOMAS RD
PHOENIX, AZ 85016-8034
Phone number: 602-470-5000