Individual
BETHANY HULTSTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
220 S 12TH AVE, PHOENIX, AZ 85007-3101
(602) 372-2142
Mailing address
3234 N 38TH ST APT 15, PHOENIX, AZ 85018-6339
(612) 644-0811
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86031850
—
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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