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Simran Bhakta, LD, RDN, CLC

Dietitian, Registered in Glendale, AZ. Individual provider (NPI-1).

NPI number1285419390
StatusActive
Last updated in NPPESAug 28, 2023

Details

NPI
1285419390
Entity type
Individual (NPI-1)
Name
Simran Bhakta
Credential
LD, RDN, CLC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 28, 2023
Certification date
Aug 23, 2023
Last updated
Aug 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, RegisteredLD-D-10234627ORYes

Practice location

12481 N 57th Dr
Glendale, AZ 85304-1806

Phone 623-680-6421

Mailing address

12481 N 57th Dr
Glendale, AZ 85304-1806

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