Individual
ANN BONPENSIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDE/ RD
Contact information
Practice address
13644 N SANDARIO RD, MARANA, AZ 85653-8579
(520) 682-4111
(520) 682-3817
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 818-3616
(520) 818-3630
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
719248
AZ
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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