Individual
MS. MARISA KAY SARSOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-3366
(602) 933-4264
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
897659
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122312
—
AZ
Enumeration date
02/09/2016
Last updated
03/02/2020
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