NPI 1003308487

Kimberly Nishiyama, DTR

Practitioner Registered Dietetic Technician Glendale, AZ

Practice location

Address: 20325 N 51st Ave, Glendale, AZ 85308-5674
Phone: (602) 341-5248
Mailing address: 20325 N 51st Ave STE 166, Glendale, AZ 85308-4624

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 86092429 (AZ)

Other Dietetic Technician, Registered providers in Arizona →

Registry record

NPI: 1003308487
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jun 2018
Record last updated: 1 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.