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Organization
MICHELLE BERMAN MS RD CDE LLC
Active
Organization
MICHELLE BERMAN MS RD CDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE BERMAN M.S., R.D., CDE (OWNER/REGISTERED DIETITION)
(480) 216-1635
Entity
Organization
Contact information
Practice address
1237 S VAL VISTA DR, MESA, AZ 85204-6401
(480) 294-6543
(480) 294-6544
Mailing address
PO BOX 1564, MESA, AZ 85211-1564
(480) 294-6543
(480) 294-6544
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
11/13/2015
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