Individual
MICHELLE NICOLE NOONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21150 N TATUM BLVD APT 2074, PHOENIX, AZ 85050-7208
(602) 790-3693
Mailing address
21150 N TATUM BLVD APT 2074, PHOENIX, AZ 85050-7208
(602) 790-3693
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
NY
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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