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Individual

LUZ-ELENA SHEARER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
CARONDELET MEDICAL GROUP, 3939 S. PARK, #150, TUCSON, AZ 85714
(520) 746-5001
Mailing address
CMG CREDENTIALING, 2202 N. FORBES BLVD., TUCSON, AZ 85745
(520) 872-7265
(520) 872-7963

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
713260
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
963779
AZ
Enumeration date
12/12/2006
Last updated
07/08/2007
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