Individual
AMY PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
13090 N 94TH DR STE 210, PEORIA, AZ 85381
(623) 974-1763
(623) 972-2038
Mailing address
25614 N 92ND AVE, PEORIA, AZ 85383-1274
(480) 717-2100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86009206
AZ
Other
Enumeration date
03/24/2014
Last updated
07/08/2019
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