Organization
SILVER STATE NUTRITION LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODI ANN PETTERSEN R.D. (REGISTERED DIETITIAN)
(775) 888-9510
Entity
Organization
Contact information
Practice address
141 PLANTATION DR, CARSON CITY, NV 89703-5411
(775) 888-9510
Mailing address
141 PLANTATION DR, CARSON CITY, NV 89703-5411
(775) 888-9510
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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