Individual
MARY ELLIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7424 E VIRGINIA AVE, SCOTTSDALE, AZ 85257-1521
(480) 201-7876
Mailing address
7424 E VIRGINIA AVE, SCOTTSDALE, AZ 85257-1521
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
1083364
AZ
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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