Organization
NUTRITION MADE SIMPLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFONE NUBARKA POWERS-PARKER RD (REGISTERED DIETITIAN/CEO)
(480) 390-2061
Entity
Organization
Contact information
Practice address
2734 S WESLEY, MESA, AZ 85209-7936
(480) 390-2061
Mailing address
2734 S WESLEY, MESA, AZ 85209-7936
(480) 390-2061
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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