Individual
MS. KAREN MICHELE IMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
16620 N 40TH ST STE G1, PHOENIX, AZ 85032-3351
(602) 363-0629
(480) 247-4179
Mailing address
3935 E ROUGH RIDER RD UNIT 1033, PHOENIX, AZ 85050-7348
(480) 570-9766
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
952489
AZ
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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