Organization
HRMC, LLC
Active
Other names
Diabetes and Endocrine Center
Organization subpart
No
Provider details
NPI number
Authorized official
JESS JUDY (VP)
(928) 854-0094
Entity
Organization
Contact information
Practice address
1851 MESQUITE AVE, SUITE 202, LAKE HAVASU CITY, AZ 86403-5677
(928) 854-0094
(928) 680-8986
Mailing address
1851 MESQUITE AVE, SUITE 202, LAKE HAVASU CITY, AZ 86403-5677
(928) 854-0094
(928) 680-8986
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
363L00000X
Nurse Practitioner
Primary
AP8464
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111026
—
AZ
Enumeration date
03/02/2016
Last updated
06/25/2016
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