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Organization

SOUTHERN AZ NUTRITION CONSULTANTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAVIER GOMEZ RDN, CDE (OWNER, OPERATOR)
(520) 904-0889
Entity
Organization

Contact information

Practice address
1100 E AJO WAY STE 212, TUCSON, AZ 85713-5055
(520) 904-0889
Mailing address
11414 E SQUASH BLOSSOM LOOP, TUCSON, AZ 85747-6219
(520) 904-0889

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
02/03/2019
Last updated
07/22/2019
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