Organization
MICHELLE BERMAN MS RD CDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE BERMAN M.S., R.D., CDE (OWNER/REGISTERED DIETITION)
(480) 216-1635
Entity
Organization
Contact information
Practice address
1237 S VAL VISTA DR, MESA, AZ 85204-6401
(480) 294-6543
(480) 294-6544
Mailing address
PO BOX 1564, MESA, AZ 85211-1564
(480) 294-6543
(480) 294-6544
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
11/13/2015
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