Individual
MS. ANDREA YURIKO ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
15211 W PORT ROYALE LN, SURPRISE, AZ 85379-7011
(623) 341-8546
Mailing address
15211 W PORT ROYALE LN, SURPRISE, AZ 85379-7011
(623) 341-8546
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86056677
AZ
Other
Enumeration date
04/28/2018
Last updated
04/28/2018
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