Individual
JENNIE ALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 243-1235
Mailing address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 243-1235
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86080438
AZ
Other
Enumeration date
06/27/2016
Last updated
07/26/2016
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