Individual
TINA GLIDEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
657 N TOWN CENTER DR, LAS VEGAS, NV 89144-6367
(702) 233-7591
Mailing address
3269 ROBINS CREEK PL, LAS VEGAS, NV 89135-1751
(702) 526-3113
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
39661-DI-1
NV
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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