Individual
MS. KANISHA TWITTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RND
Contact information
Practice address
5618 W RAINWATER DR, LAVEEN, AZ 85339-5704
(480) 404-3501
Mailing address
5618 W RAINWATER DR, LAVEEN, AZ 85339-5704
(480) 404-3501
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
AZ
136A00000X
Registered Dietetic Technician
—
AZ
Other
Enumeration date
11/06/2024
Last updated
06/06/2025
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