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Individual

ONYE OMA BAHATI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1813 E ALTA VISTA RD, PHOENIX, AZ 85042-4579
(602) 367-3006
(602) 268-7453
Mailing address
1813 E ALTA VISTA RD, PHOENIX, AZ 85042-4579
(602) 367-3006
(602) 268-7453

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
05/18/2018
Last updated
05/18/2018
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