Individual
MRS. ELSIE FULLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MS, RDN, LDN
Contact information
Practice address
10389 KALANG ST, LAS VEGAS, NV 89178-8028
(725) 256-9689
Mailing address
10389 KALANG ST, LAS VEGAS, NV 89178-8028
(725) 256-9689
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
03/04/2025
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