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Katie L Shaul, RD

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

NPI number1982174868
StatusActive
Last updated in NPPESDec 4, 2018

Details

NPI
1982174868
Entity type
Individual (NPI-1)
Name
Katie L Shaul
Credential
RD
Sex
Female
Sole proprietor
No
Enumeration date
Dec 4, 2018
Last updated
Dec 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered1098753AZYes

Practice location

18001 N 79th Ave Ste A12
Glendale, AZ 85308-8398

Phone 623-399-6825 · Fax 623-505-3474

Mailing address

18001 N 79th Ave Ste A12
Glendale, AZ 85308-8398

Phone 623-399-6825 · Fax 623-505-3474

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