Individual
NICOLE VAUDRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9201 N 5TH ST, PHOENIX, AZ 85020-2532
(480) 882-4545
Mailing address
10411 N 9TH ST UNIT 1, PHOENIX, AZ 85020-8515
(602) 448-6199
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86023162
OH
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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