Organization
EATING FOR LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY GANN RD (OWNER)
(480) 773-1637
Entity
Organization
Contact information
Practice address
99 S GOLD DR, SUITE 6, APACHE JUNCTION, AZ 85120-5035
(480) 773-1637
(602) 362-3171
Mailing address
3820 E LEAH CT, GILBERT, AZ 85234-0013
(480) 773-1637
(602) 362-3171
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
956114
AZ
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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