Individual
JENNIFER CROSSWHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3679
Mailing address
6536 BLACK OAKS ST, NORTH LAS VEGAS, NV 89084-2045
(702) 505-5147
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
860006266
NV
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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