BRENT LAESCH

TEMPE, AZ
NPI1235534652
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: AZ  1827)
Enumeration Date2014-10-28
Last Update Date2026-01-23
Business Address
BRENT LAESCH RD, LD.
2063 E LEMON ST APT 3001
TEMPE, AZ 85281-4881
Phone number: 918-630-2245
Mailing Address
BRENT LAESCH RD, LD.
2063 E LEMON ST APT 3001
TEMPE, AZ 85281-4881
Phone number: 918-630-2245