Organization
PROFESSIONAL NUTRITION SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA S POLMANTEER (MANAGER)
(480) 897-2260
Entity
Organization
Contact information
Practice address
7600 N 16TH ST, SUITE 140 ROOM 1, PHOENIX, AZ 85020-4431
(480) 897-2260
(480) 897-2274
Mailing address
7600 N 16TH ST, SUITE 140 ROOM 1, PHOENIX, AZ 85020-4431
(480) 897-2260
(480) 897-2274
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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