Individual
MS. KRISTA MARIE SIMONETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS
Contact information
Practice address
540 N CAMINO MERCADO, SUITE 3, CASA GRANDE, AZ 85122-5751
(520) 840-4026
Mailing address
15801 S 48TH ST, APT 2212, PHOENIX, AZ 85048-0807
(480) 204-6006
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
CNS-16014
AZ
Other
Enumeration date
08/05/2010
Last updated
12/20/2011
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