Individual
MRS. DANIELLE LAFATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3509 N 32ND ST, PHOENIX, AZ 85018-5608
(480) 399-7246
Mailing address
3509 N 32ND ST, PHOENIX, AZ 85018-5608
(480) 399-7246
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
916282
MI
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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