| NPI | 1508180829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE H. ANDERSON Member/Owner 602-770-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 915444) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2021-12-18 |