Individual
MS. WENDY VAN WOOTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 464-3381
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 464-3381
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
857947
CDR
—
Enumeration date
01/18/2006
Last updated
08/03/2023
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