Organization
TEAM 83 PARTNERS LLC
Active
Other names
Core, Life in Balance
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA SUE CONNER MPH, RD, CDE, CFT (VICE PRESIDENT OF NUTRITION/WELLNES)
(623) 561-2673
Entity
Organization
Contact information
Practice address
6320 W UNION HILLS DR., SUITE 1500 B, GLENDALE, AZ 85308
(623) 561-2673
(623) 825-6315
Mailing address
6320 W UNION HILLS DR, SUITE 1500 B, GLENDALE, AZ 85308-1096
(623) 561-2673
(623) 825-6315
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
861117
AZ
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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