Individual
LYDIA MORACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1525 S HIGLEY RD STE 104, GILBERT, AZ 85296-5045
(480) 702-1884
Mailing address
1525 S HIGLEY RD STE 104, GILBERT, AZ 85296-5045
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86167765
AZ
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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