Most Relevant Information
Provider Data
| NPI Number: | 1003350430 |
| Provider Name: | GHAIDAA KOBEISSI RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86063787 |
Most Important Dates
| Enumeration Date: | 12/03/2016 |
| Last Updated: | 09/13/2021 |
Provider Practice Location
10350 E DREXEL RD UNIT 110
TUCSON
AZ
857479409
Practice Location Phone/Fax
| Phone: | 5203241727 |
| Fax: | 5203241700 |
Provider Mailing Location
5301 E GRANT RD
TUCSON
AZ
857122805
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |