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Individual

MS. CANDIS RACHEL FUTCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 AZ-89, PRESCOTT, AZ 86301
(928) 445-4860
Mailing address
2400 N ARIZONA AVE APT 1115, CHANDLER, AZ 85225-1255
(928) 607-4491

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86151341
AZ
136A00000X
Registered Dietetic Technician
86151341
AZ

Other

Enumeration date
01/27/2021
Last updated
08/30/2021
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