Individual
JOANNA GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 207-8205
Mailing address
3109 LOTUS HILL DR, LAS VEGAS, NV 89134-8988
(702) 247-1908
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
133VOOOOOX
—
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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