Individual
MS. CHRISTINE E SPORTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0970
(602) 933-4253
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
990773
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
540320
—
AZ
Enumeration date
07/29/2010
Last updated
06/05/2024
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