Individual
TARA TAYLOR NOSECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
5175 CEREUS CT, LAS VEGAS, NV 89146-6956
(702) 960-5640
Mailing address
5175 CEREUS CT, LAS VEGAS, NV 89146-6956
(702) 960-5640
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
38450-DI-0
NV
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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