Organization
SWANN SONG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONJA RENAE HENDERSON (PRESIDENT)
(520) 272-5543
Entity
Organization
Contact information
Practice address
11805 N CASSIOPEIA DR, ORO VALLEY, AZ 85737-3410
(520) 272-5543
(520) 579-3207
Mailing address
11805 N CASSIOPEIA DR, ORO VALLEY, AZ 85737-3410
(520) 272-5543
(520) 579-3207
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
20084710
AZ
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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