Individual
DESTINEE AMIE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NDTR, RDN
Contact information
Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3344
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86146511
AZ
Other
Enumeration date
08/06/2019
Last updated
11/08/2019
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