Individual
CAMILLA HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
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
DX3979
MD
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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