Individual
BERTILIA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6842 W AURORA DR, GLENDALE, AZ 85308-8950
(954) 675-8360
Mailing address
6842 W AURORA DR, GLENDALE, AZ 85308-8950
(954) 675-8360
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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