Organization
SUNRISE NUTRITION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LEIGH QUINLAN MPH, RD, LD (OWNER, REGISTERED DIETITIAN)
(505) 728-6377
Entity
Organization
Contact information
Practice address
2942 N 24TH ST STE 114, PHOENIX, AZ 85016-7849
(505) 728-6377
Mailing address
2942 N 24TH ST., SUITE # 114, PHOENIX, AZ 85016
(505) 728-6377
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
07/10/2020
Last updated
05/07/2024
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