| Motoko Fanning, | |
|
1003 Willow Creek Rd, Prescott, AZ 86314 | |
| (928) 759-5821 | |
| (928) 759-5827 |
| Full Name | Motoko Fanning |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1003 Willow Creek Rd, Prescott, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316319064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Motoko Fanning, 1003 Willow Creek Rd., Prescott, AZ 86314 Ph: (928) 759-5821 | Motoko Fanning, 1003 Willow Creek Rd, Prescott, AZ 86314 Ph: (928) 759-5821 |
Emily Tholson, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1819 Windy Walk Lane, Prescott, AZ 86305 Phone: 928-499-0912 | |
Wendy E Nelson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1003 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-445-2700 | |
Miss Sarah Katherine Hunt, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1003 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-771-5168 | |
Amanda J Wikan, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 730 N Monarch Dr, Prescott, AZ 86305 Phone: 563-277-2015 | |
Mrs. Kathryn Kimball, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3181 Clearwater Drive, Suite B, Prescott, AZ 86305 Phone: 928-515-1755 | |
Mr. George Mark Coram, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Navahcs 500 N Hwy 89, Prescott, AZ 86313 Phone: 928-445-4860 Fax: 928-717-7423 | |
Melissa Ellis, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1003 Willow Creek Rd, Prescott, AZ 86314 Phone: 928-759-5821 Fax: 928-759-5827 |