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Individual

MISS SORA JULIE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

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
(702) 791-9000

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86099164
IL
133VN1005X
Renal Nutrition Registered Dietitian
86099164
IL

Other

Enumeration date
05/23/2018
Last updated
08/02/2023
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