Individual
MS. KELLY LYNN MYSZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
21425 N GOLES DR, MARICOPA, AZ 85138-9329
(480) 529-1025
Mailing address
21425 N GOLES DR, MARICOPA, AZ 85138-9329
(480) 529-1025
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86301905
AZ
Other
Enumeration date
04/21/2023
Last updated
10/01/2023
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