Individual
KIMBERLY SPEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CNSC
Contact information
Practice address
350 W THOMAS RD, FOOD & NUTRITION DEPARTMENT, PHOENIX, AZ 85013-4409
(602) 406-3115
(602) 406-6660
Mailing address
1210 E NORTHERN AVE, PHOENIX, AZ 85020-4217
(602) 677-4164
(602) 532-7146
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
11002
CA
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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