Individual
ANDRES SAMUEL FIERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DTR
Contact information
Practice address
6520 N 7TH ST, PHOENIX, AZ 85014-1211
(480) 681-0458
Mailing address
40171 W ROBBINS DR, MARICOPA, AZ 85138-6749
(602) 321-4497
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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