Individual
TARA JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
4041 N CENTRAL AVE BLDG C, PHOENIX, AZ 85012-3313
(480) 289-8438
Mailing address
4844 E LA PUENTE AVE, PHOENIX, AZ 85044-1730
(480) 289-8438
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
85115469
AZ
Other
Enumeration date
04/02/2024
Last updated
06/28/2024
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