KRUPA MATHEW CHACKALACKAL

AVONDALE, AZ
NPI1154993533
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: AZ  86289513)
Enumeration Date2021-07-14
Last Update Date2021-07-14
Business Address
KRUPA MATHEW CHACKALACKAL RD
10750 W MCDOWELL RD STE A300
AVONDALE, AZ 85392-5963
Phone number: 623-399-6825
Mailing Address
KRUPA MATHEW CHACKALACKAL RD
18001 N 79TH AVE STE A12
GLENDALE, AZ 85308-8398
Phone number: 623-399-6825