Individual
MRS. SUVASINI MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
5717 E GABLE AVE, MESA, AZ 85206-6715
(480) 275-2422
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
OO361183
—
Other
Enumeration date
09/27/2006
Last updated
07/16/2007
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