Individual
MOLLY EILISH JEPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0945
(602) 933-4263
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(160) 293-3181
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
86098353
AZ
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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