Organization Name: | ARIZONA DIABETES AND NUTRITION EDUCATION, LLC |
NPI Number: | 1740282821 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA ANN MALAJ (OWNER/MANAGER) |
Mailing Address: | 3707 E Southern Ave Mesa |
State: | AZ US |
Postal Code: | 852062569 |
Phone Number: | 4802174861 |
Fax Number: | 4806261551 |
NPI Enumeration Date: | 08/10/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 706851 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | AZ |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |