| NPI | 1316337652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ANDERSON- GOODRICH President 602-770-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 1038050) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2018-05-15 |