Individual
LAURA R WITTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
809 W RIORDAN RD, SUTIE 100 #327, FLAGSTAFF, AZ 86001-0801
(928) 814-9585
Mailing address
809 W RIORDAN RD, SUTIE 100 #327, FLAGSTAFF, AZ 86001-0801
(928) 814-9585
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
625808
AZ
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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