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Individual

COURTNEY KATHLEEN WEISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD

Contact information

Practice address
500 W THOMAS RD, PHOENIX, AZ 85013-4224
(602) 406-6199
Mailing address
14402 N 20TH PL, PHOENIX, AZ 85022-4629
(708) 743-9743

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86037692
IL

Other

Enumeration date
05/05/2015
Last updated
05/05/2015
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