Individual
JACQUELINE CHAPPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86081491
IL
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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