Individual
MYA TUESDAY PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1920 N HIGLEY RD STE 306, GILBERT, AZ 85234-1625
(480) 543-2606
Mailing address
410 E 9TH AVE APT 10, MESA, AZ 85204-4141
(602) 733-7509
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
07/11/2019
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