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Organization
MAK NUTRITION SERVICES
Active
Organization
MAK NUTRITION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN A KNISKERN MS, RD (OWNER)
(480) 316-3081
Entity
Organization
Contact information
Practice address
4354 E PALO VERDE DR, PHOENIX, AZ 85018-1128
(480) 316-3081
Mailing address
4354 E PALO VERDE DR, PHOENIX, AZ 85018-1128
(480) 316-3081
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/19/2022
Last updated
02/19/2022
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