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Organization
TAYLOR AASAND NUTRITION
Active
Organization
TAYLOR AASAND NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR AASAND RD (CEO)
(701) 520-9189
Entity
Organization
Contact information
Practice address
11811 N TATUM BLVD STE 3031, PHOENIX, AZ 85028-1621
(701) 520-9189
Mailing address
11811 N TATUM BLVD STE 3031, PHOENIX, AZ 85028-1621
(701) 520-9189
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86037729
COMMISSION OF DIETETIC REGISTRATION
—
Enumeration date
12/13/2021
Last updated
12/13/2021
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