Individual
MRS. LISA ELLEN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1311 W TOWNLEY AVE, PHOENIX, AZ 85021-4408
(602) 465-3634
Mailing address
1311 W TOWNLEY AVE, PHOENIX, AZ 85021-4408
(602) 465-3634
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
831503
AZ
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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