Individual
MICHAEL BRODIE WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
39346-DI-1
NV
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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