Individual
JESSICA ORTWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSOWM
Contact information
Practice address
1300 N 12TH ST, SUITE 612, PHOENIX, AZ 85006-2848
(602) 521-3050
Mailing address
1300 N 12TH ST, SUITE 612, PHOENIX, AZ 85006-2848
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1074991
AZ
Other
Enumeration date
04/06/2016
Last updated
10/28/2022
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