Individual
LARA JOY SULTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNTP, CPT
Contact information
Practice address
112 SPUR RANCH AVE, NORTH LAS VEGAS, NV 89032-8108
(760) 518-9431
Mailing address
PO BOX 8626, HOT SPRINGS VILLAGE, AR 71910-8626
(760) 518-9431
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
3305
WA
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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