Individual
EILEEN BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
9700 N 91ST ST, SUITE B220, SCOTTSDALE, AZ 85258-5054
(480) 323-4914
(480) 323-4929
Mailing address
3701 W STATE AVE, PHOENIX, AZ 85051-8262
(480) 989-4914
(480) 323-4929
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ADA REG # 513947
AZ
Other
Enumeration date
05/16/2007
Last updated
05/18/2016
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