Individual
MRS. ANGIE NICOLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 E KALER DR, PHOENIX, AZ 85020-4151
(480) 529-6273
Mailing address
707 E KALER DR, PHOENIX, AZ 85020-4151
(480) 529-6273
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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