Individual
MS. ELAINE M MANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDE NISC
Contact information
Practice address
650 E INDIAN SCHOOL, VA MEDICAL CENTER, PHOENIX, AZ 85012
(602) 277-5551
Mailing address
7519 E SUTTON, SCOTTSDALE, AZ 85260
(480) 778-9155
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R363172
—
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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