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Organization

SOUTHWEST DIETITIAN GROUP LLC

Active
Other names
SOUTHWEST DIETITIAN GROUP
Organization subpart
No

Provider details

NPI number
Authorized official
MAYA ELIZABETH NAHRA RD (PRESIDENT, OWNER)
(216) 533-4023
Entity
Organization

Contact information

Practice address
428 S GILBERT RD STE 106-2, GILBERT, AZ 85296-2263
(602) 218-5278
(844) 218-4691
Mailing address
70 S VAL VISTA DR STE A3-527, GILBERT, AZ 85296-0944
(602) 218-5278
(844) 218-4691

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
01/08/2022
Last updated
08/01/2023
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