person
Diane Marie Selleck, RD
Metabolic Nutrition Registered Dietitian in Parker, Arizona
NPI 1750503900

Diane Marie Selleck is a Metabolic Nutrition Registered Dietitian based in Lake Havasu City, AZ and is specialized in Nutrition, Metabolic. Diane Marie Selleck practices in Parker, AZ and has the professional credentials of RD. The NPI Number for Diane Marie Selleck is 1750503900 and holds a License No. 932530 (Arizona).

The current practice location address for Diane Marie Selleck is 12033 Agency Rd, Parker, AZ and can be reached out via phone at 928-669-3283.

Location: 12033 Agency Rd, Parker, AZ, 86403-6658
person
Provider Profile Details
NPI Number
1750503900
Provider Name
Diane Marie Selleck
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
12033 Agency Rd, Parker, AZ, 86403-6658
Phone Number
928-669-3283
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
932530 01 CDR REGISTRATION ID NUMBE
37001488A 01 IN DIETITIAN CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
12033 Agency Rd
City
State
Zip
85344-7718
Phone Number
928-669-3283
Fax Number
person
Provider Business Mailing Address Details
Address
12033 Agency Rd
City
State
Zip
85344-7718
Phone Number
928-669-3283
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Metabolic
Taxonomy
License No.
932530 ()
Definition
Definition to come...
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