Provider Demographics
NPI:1184487183
Name:SZARKOWSKA, JUSTYNA (RD)
Entity type:Individual
Prefix:
First Name:JUSTYNA
Middle Name:
Last Name:SZARKOWSKA
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1751 N LITCHFIELD RD APT 2105
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-2266
Mailing Address - Country:US
Mailing Address - Phone:480-267-3682
Mailing Address - Fax:
Practice Address - Street 1:1751 N LITCHFIELD RD
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2259
Practice Address - Country:US
Practice Address - Phone:480-267-3682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered