Organization
NUTRIWELLNESS4LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIEL MORALES (OWNER)
(623) 628-7800
Entity
Organization
Contact information
Practice address
9003 W MAGNOLIA ST, TOLLESON, AZ 85353-6988
(623) 628-7800
(623) 388-6234
Mailing address
9003 W MAGNOLIA ST, TOLLESON, AZ 85353-6988
(623) 628-7800
(623) 388-6234
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
914955
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
946139
—
AZ
Enumeration date
11/28/2007
Last updated
11/28/2007
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