Individual
SAMANTHA NICHOL DEFALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 W SUNSET RD, LAS VEGAS, NV 89148-4844
(702) 351-1601
Mailing address
9300 W SUNSET RD, LAS VEGAS, NV 89148-4844
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
40903-DI-0
NV
Other
Enumeration date
05/12/2023
Last updated
06/05/2024
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