Organization
MONTGOMERY NUTRITIONAL CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA DAWN MONTGOMERY R.D. (OWNER)
(623) 256-8380
Entity
Organization
Contact information
Practice address
6624 W EAGLE TALON TRL, PHOENIX, AZ 85083-7541
(623) 256-8380
Mailing address
6624 W EAGLE TALON TRL, PHOENIX, AZ 85083-7541
(623) 256-8380
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
925937
AZ
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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