Provider Demographics
NPI:1689312944
Name:ZUNIGA, MASON (RDN)
Entity Type:Individual
Prefix:
First Name:MASON
Middle Name:
Last Name:ZUNIGA
Suffix:
Gender:M
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 S SHIELA AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85735-9345
Mailing Address - Country:US
Mailing Address - Phone:520-395-7838
Mailing Address - Fax:
Practice Address - Street 1:2850 S SHIELA AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85735-9345
Practice Address - Country:US
Practice Address - Phone:520-395-7838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ86151459133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered