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Organization
MEDICAL NUTRITION THERAPY OF ARIZONA LLC
Active
Organization
MEDICAL NUTRITION THERAPY OF ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY TOROK RDN (MANAGING OWNER)
(415) 845-8654
Entity
Organization
Contact information
Practice address
6095 E GRANT RD, TUCSON, AZ 85712-2343
(415) 845-8654
Mailing address
6095 E GRANT RD, TUCSON, AZ 85712-2343
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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