Individual
ERIKA ENOMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
20325 N 51ST AVE STE 126, GLENDALE, AZ 85308-5677
(602) 341-5248
(602) 702-5219
Mailing address
20325 N 51ST AVE STE 126, GLENDALE, AZ 85308-5677
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1008375
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1008375
RD LICENSE
AZ
Enumeration date
03/07/2023
Last updated
03/07/2023
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