Individual
BRANDON YAMAGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10000 N 31ST AVE STE C105, PHOENIX, AZ 85051-9625
(602) 674-1068
(480) 247-5461
Mailing address
18001 N 79TH AVE STE A12, GLENDALE, AZ 85308-8398
(623) 399-6825
(623) 505-3474
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86301258
AZ
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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