Individual
SUSAN ELIZABETH WELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
14719 W GRAND AVE, SURPRISE, AZ 85374-7203
(623) 832-9355
(623) 832-9356
Mailing address
14719 W GRAND AVE, SURPRISE, AZ 85374-7203
(623) 832-9355
(623) 832-9356
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103133
—
AZ
Enumeration date
08/26/2005
Last updated
06/22/2016
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