Individual
MS. JILL KAY MACFARLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
15255 NORTH 40TH STREET, BLDG 5 STE 135, PHOENIX, AZ 85032-0000
(602) 943-1231
Mailing address
3003 N CENTRAL AVENUE, STE 400, AKDHC, LLC, PHOENIX, AZ 85012-0000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209946
—
AZ
Enumeration date
09/20/2006
Last updated
08/12/2008
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