Medical Nutrition Services, Llc
Nutritionist in Tempe, AZ(View on Map)
Legal Business Name
Medical Nutrition Services, Llc
NPI Number
1609219872
NPI Type
Organization
Enumeration Date
04/08/2013
Specialties
(Taxonomies)Name
Code
133N00000X
133VN1006X
133NN1002X
133VN1004X
133VN1005X
Primary Taxonomy
Yes
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
1198 W KELLY LN
1198 W KELLY LN
City
Tempe
Tempe
State
AZ
AZ
Postal Code
85284-3772
85284-3772
Country
US
US
Telephone Number
(480) 204-6006
(480) 204-6006
Authorized Official
Name
Krista Simonetti
Title or Position
OWNER
Telephone Number
(480) 204-6006
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/29/2013