Individual
CHANELLE YVETTE DEGRAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
14635 S 4TH AVE, PHOENIX, AZ 85045-0456
(480) 213-3908
Mailing address
11201 N TATUM BLVD STE 300, PHOENIX, AZ 85028-6039
(480) 213-3908
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
AZ
133NN1002X
Nutrition Education Nutritionist
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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