| Healthy Living Center/diabetes Treatment & Prevention Services | |
|
167 North Main Street, Tuba City, AZ 86045 | |
| (928) 283-2094 | |
| (928) 283-2677 |
| Full Name | Healthy Living Center/diabetes Treatment & Prevention Services |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 167 North Main Street, Tuba City, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922547223 | NPI | - | NPPES |
| 721250 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 200013 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Living Center/diabetes Treatment & Prevention Services Po Box 600, Tuba City, AZ 86045-0600 Ph: (928) 283-2094 | Healthy Living Center/diabetes Treatment & Prevention Services 167 North Main Street, Tuba City, AZ 86045 Ph: (928) 283-2094 |
Mr. Abdul-aziz I Baco, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Marilyn Diane Smith, RD Dietitian Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Deirdra G Scarborough, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Ronald J Dovzak, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Miss Theodora Rudd, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2895 | |
Jana Franchini, MS, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 167 Main Street, Tuba City, AZ 86045 Phone: 866-976-5941 | |
Jane Dougherty-lake, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2497 |