Individual
SHOBHA S VANMALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
(623) 247-9742
Mailing address
2702 N 3RD ST, SUITE 4020, PHOENIX, AZ 85004-1130
(602) 323-3344
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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