Individual
NICOLE VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1082583
AZ
Other
Enumeration date
08/24/2020
Last updated
08/22/2024
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