Organization
HAIKU NUTRITIONAL EMPOWERMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY RENEE ROBERS RDN, CDCES (CEO)
(602) 935-8791
Entity
Organization
Contact information
Practice address
15212 N 2ND ST, PHOENIX, AZ 85022-3610
(602) 935-8791
Mailing address
15212 N 2ND ST, PHOENIX, AZ 85022-3610
(602) 935-8791
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851799357
—
AZ
Enumeration date
09/30/2021
Last updated
04/09/2026
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