Individual
KRISMA DESPORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 NORTH LAS VEGAS BLVD, NELLIS AFB, NV 89115-2329
(702) 653-2901
Mailing address
4700 LAS VEGAS BLVD N, LAS VEGAS, NV 89191-6600
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
133V00000X
NV
Other
Enumeration date
10/02/2006
Last updated
07/22/2009
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