Scott, Revondolyn L

Scott, Revondolyn L is an individual health care provider with primary practice located at 8135 W Lynwood St , Phoenix AZ 85043. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Nutritionist is her primary health care specialty. Scott, Revondolyn L can be contacted via phone (602) 330-2502.

Contact Information

Primary practice address
8135 W Lynwood St Phoenix AZ 85043
Phone: (602) 330-2502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND4121 Florida
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 865489

Profile Details

NPI number 1578505780
LBN Legal business name Scott, Revondolyn L
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Aug 14th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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