Individual
TAMMY J LEEPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
4107 E SHANNON ST, GILBERT, AZ 85295-7740
(480) 390-2655
Mailing address
4107 E SHANNON ST, GILBERT, AZ 85295-7740
(480) 390-2655
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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