NPI | 1740282821 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA ANN MALAJ Owner/Manager 480-217-4861 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: AZ 706851) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: AZ RN0518449) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2020-08-22 |