| NPI | 1730678400 |
|---|---|
| Former Legal Business Name | AZ DIETITIANS |
| Entity Type | Organization |
| Authorized Contact | TERRY KAY JOHNSON Credentialing Specialist 480-920-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 86063644) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-07-31 |