Individual
SELANGE GIANNETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5626 S MARINE DR, TEMPE, AZ 85283-2128
(630) 715-5838
Mailing address
5626 S MARINE DR, TEMPE, AZ 85283-2128
(630) 715-5838
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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