Organization
NUTRIFYI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTA V ANSELMO R.D. (REGISTERED DIETITIAN/OWNER)
(602) 803-4522
Entity
Organization
Contact information
Practice address
544 N ALMA SCHOOL RD, #5, MESA, AZ 85201-5473
(602) 803-4522
Mailing address
544 N ALMA SCHOOL RD, #5, MESA, AZ 85201-5473
(602) 803-4522
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
987208
AZ
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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