Individual
TINA MARIA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5308 RED GLORY DR, LAS VEGAS, NV 89130-5318
(813) 679-8846
Mailing address
5308 RED GLORY DR, LAS VEGAS, NV 89130-5318
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
40224-DI-1
NV
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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