Organization
A & B NUTRITION EDUCATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEZLI R. STONE R.D. (CEO)
(602) 451-6826
Entity
Organization
Contact information
Practice address
5802 N 25TH ST, PHOENIX, AZ 85016-2842
(602) 451-6826
Mailing address
5802 N. 25TH ST, PHOENIX, AZ 85016-2842
(602) 451-6826
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
527790
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
423167
AHCCCS
AZ
Enumeration date
10/19/2010
Last updated
10/19/2010
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