Individual
DR. DEBRA BRUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1428 E NORTHERN AVE, PHOENIX, AZ 85020-4319
(480) 442-0191
Mailing address
3738 E WELDON AVE, PHOENIX, AZ 85018-5816
(480) 442-0191
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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