Individual
ELISE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10752 N 89TH PL STE 114B, SCOTTSDALE, AZ 85260-6730
(623) 399-6825
(623) 505-3474
Mailing address
18001 N 79TH AVE STE A12, GLENDALE, AZ 85308-8398
(623) 399-6825
(623) 505-3474
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86325434
AZ
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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