Individual
MS. MICHELLE JOHNSON HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2470 S VAL VISTA DR #104, GILBERT, AZ 85295
(602) 770-7611
Mailing address
3820 W HAPPY VALLEY ROAD #141-187, GLENDALE, AZ 85310
(602) 770-7611
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
878146
IL
Other
Enumeration date
12/14/2006
Last updated
11/27/2018
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