Individual
MS. GAYLE MARIE BAINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.N
Contact information
Practice address
1210 W DAVIS WAY, FLAGSTAFF, AZ 86001-1201
(928) 380-1610
(928) 380-1610
Mailing address
1210 W DAVIS WAY, FLAGSTAFF, AZ 86001-1201
(928) 380-1610
(928) 774-8606
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172334
AHCCCS
AZ
Enumeration date
08/15/2007
Last updated
11/16/2016
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