Individual
MARC ANTHONY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
20325 N 51ST AVE, GLENDALE, AZ 85308-5674
(602) 342-5248
Mailing address
20325 N 51ST AVE, GLENDALE, AZ 85308-5674
(602) 341-5248
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
AZ
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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