JACK NICKEL

TEMPE, AZ
NPI1952903916
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
Enumeration Date2020-11-13
Last Update Date2020-11-13
Business Address
JACK NICKEL RD
1840 E BROADWAY RD
TEMPE, AZ 85282-1614
Phone number: 480-205-0338
Mailing Address
JACK NICKEL RD
1840 E BROADWAY RD
TEMPE, AZ 85282-1614
Phone number: 480-205-0338