Organization
TREKFIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OFELIA BAYUTAS MUTIA MS.,RDN.,LD. (REGISTERED DIETITIAN NUTRITIONIST)
(623) 888-4383
Entity
Organization
Contact information
Practice address
9033 WEST STATE AVENUE, GLENDALE, AZ 85305
(623) 888-4383
Mailing address
9033 W STATE AVE, GLENDALE, AZ 85305-1626
(623) 888-4383
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002082
GA
Other
Enumeration date
07/07/2017
Last updated
07/21/2022
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