Individual
JESSICA MARIE SARAH LUBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, MS
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 246-1906
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 246-1906
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86115999
AZ
Other
Enumeration date
01/28/2020
Last updated
10/19/2021
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