Individual provider · Type 1 NPI
Rustom Ali, PhD
Nutrition Education Nutritionist · Lake Havasu City, AZ
NPI number
1790190155
Active
Practice location
1968 Mesquite Ave
Lake Havasu City, AZ 86403-5729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist Primary | 133NN1002X | 778154 (AZ) |
| Health Educator | 174H00000X | 778154 (AZ) |
Nutrition Education Nutritionist: Definition to come...
Another provider at this address
About NPI 1790190155
Rustom Ali, PhD's National Provider Identifier is 1790190155, issued on Jun 24, 2014. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Jun 24, 2014.