Individual
ANASTACIA LEE FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
15640 N 28TH DR, PHOENIX, AZ 85053-4059
(602) 439-9000
Mailing address
15640 N 28TH DR, PHOENIX, AZ 85053-4059
(602) 439-9000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86009160
AZ
Other
Enumeration date
11/20/2014
Last updated
11/21/2014
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