Individual
MS. ANTOINETTA V ANSELMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
544 N ALMA SCHOOL RD UNIT 5, MESA, AZ 85201-5474
(602) 803-4522
(480) 621-8109
Mailing address
544 N ALMA SCHOOL RD UNIT 5, MESA, AZ 85201-5474
(602) 803-4522
(480) 621-8109
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
987208
AZ
Other
Enumeration date
11/27/2013
Last updated
03/18/2014
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