Tom, Valora Jean

Tom, Valora Jean is an individual health care provider with primary practice located at Corner Of Rt N12 & N7 , Fort Defiance AZ 86504. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Tom, Valora Jean can be contacted via phone (928) 729-8828.

Contact Information

Primary practice address
Corner Of Rt N12 & N7 Fort Defiance AZ 86504
Phone: (928) 729-8828
Fax: (928) 729-8045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 978588 Illinois
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 0816 New Mexico

Profile Details

NPI number 1790934818
LBN Legal business name Tom, Valora Jean
Credentials RD, LD, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2008
Last updated Oct 8th, 2014 - about 12 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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