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Individual

COURTNEY DILLON BLISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RDN, CNSC

Contact information

Practice address
1844 N 38TH ST, PHOENIX, AZ 85008-3914
(702) 338-8635
Mailing address
1844 N 38TH ST, PHOENIX, AZ 85008-3914
(702) 338-8635

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86007759
COMMISSION ON DIETETIC REGISTRATION
Enumeration date
09/05/2017
Last updated
07/21/2022
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