Organization
MEDICAL NUTRITION THERAPY OF ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY TOROK RDN (MANAGING OWNER)
(415) 845-8654
Entity
Organization
Contact information
Practice address
6095 E GRANT RD, TUCSON, AZ 85712-2343
(415) 845-8654
Mailing address
6095 E GRANT RD, TUCSON, AZ 85712-2343
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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