Individual provider · NPI-1

Anna De Jesus, RDN

Dietitian, Registered · Tempe, AZ

NPI number1255817052
StatusActive
Last updated in NPPESJul 14, 2018

Details

NPI
1255817052
Entity type
Individual (NPI-1)
Name
Anna De Jesus
Credential
RDN
Sex
Female
Sole proprietor
No
Enumeration date
Jul 14, 2018
Last updated
Jul 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

203 W Greentree Dr
Tempe, AZ 85284-3002

Phone 602-819-8394 · Fax 888-550-4813

Mailing address

Po Box 14143
Tempe, AZ 85284-0070

Phone 602-819-8394 · Fax 888-550-4813

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