Organization
SUPERIOR SUSTENANCE, LLC
Active
Other names
Superior Sustenance
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE WHEELER MS, RD (OWNER)
(480) 577-7046
Entity
Organization
Contact information
Practice address
1745 S ALMA SCHOOL RD, STE 105, MESA, AZ 85210-3009
(480) 577-7046
Mailing address
1745 S ALMA SCHOOL RD, STE 105, MESA, AZ 85210-3009
(480) 577-7046
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
990773
AZ
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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