Valora Jean Tom RD, LD, CDE

NPI 1790934818 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1790934818
Gender Female
Enumeration Date 09/12/2008
Last Updated 10/08/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
CORNER OF RT N12 & N7
FORT DEFIANCE AZ, 86504, US
Phone (928) 729-8828
Fax (928) 729-8045
Business Location
PO BOX 589
FORT DEFIANCE AZ, 86504-0589, US
Phone (928) 729-8828
Fax (928) 729-8045
Toxanomy
Taxonomy Code 133V00000X
License State Illinois
License Number 978588
Remove 1790934818 NPI Number
 

According to our database, Ms. Valora Jean Tom RD, LD, CDE NPI is 1790934818, taxonomy code is 133V00000X and license number is 978588, license state is located at Illinois. Valora Jean Tom RD, LD, CDE physically located at Corner Of Rt N12 & N7, Fort Defiance AZ, 86504. NPI Number Valora Jean Tom RD, LD, CDE has the Individual type.

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1790934818 NPI number is provided on an as is basis without warranty of any kind. 1790934818 is maintained by the National Plan & Provider Enumeration System. The contents of Valora Jean Tom RD, LD, CDE are for informational purposes only.