Individual
EMILEE TENEYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(480) 292-6916
Mailing address
15204 S 20TH ST, PHOENIX, AZ 85048-4104
(480) 292-6916
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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