Individual
JAYNE NEWMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
524 W HARMONT DR, PHOENIX, AZ 85021-5647
(602) 264-3587
Mailing address
524 W HARMONT DR, PHOENIX, AZ 85021-5647
(602) 264-3587
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/10/2015
Last updated
06/27/2016
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