Organization
MY INTENTFUL LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYA NAHRA (RD)
(216) 533-4023
Entity
Organization
Contact information
Practice address
5410 N SCOTTSDALE RD STE D100, PARADISE VALLEY, AZ 85253-5937
(216) 533-4023
Mailing address
7000 N 16TH ST STE 120-427, PHOENIX, AZ 85020-5512
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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