Individual
MS. REVONDOLYN L SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8135 W LYNWOOD ST, PHOENIX, AZ 85043
(602) 330-2502
Mailing address
8135 W LYNWOOD ST, PHOENIX, AZ 85043-1144
(602) 330-2502
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
865489
—
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
ND4121
FL
Other
Enumeration date
06/12/2006
Last updated
08/14/2018
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