Individual
NATASHA BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6583
(602) 243-7277
Mailing address
3543 W SHANNON ST, CHANDLER, AZ 85226-5918
(480) 553-4927
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86132671
AZ
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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