Individual
REBECCA MOFFAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
(928) 537-6548
(928) 537-4526
Mailing address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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