| NPI | 1588221956 |
|---|---|
| Doing Business As | NEVADA NUTRITION SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | JACLYN WEGNER Manager 702-883-4331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |