Individual
LAURIE BRADLEY MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
13842 S 32ND ST, PHOENIX, AZ 85044-3615
(602) 770-8924
Mailing address
13842 S 32ND ST, PHOENIX, AZ 85044-3615
(602) 770-8924
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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