Individual
LEIGH A SHOVESTULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1665
Mailing address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1665
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
892009
AZ
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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