Individual
SHANTI A WOLFE-PAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
1861 SPRING BLOSSOM LN, SPARKS, NV 89434-8093
(775) 223-5104
Mailing address
1861 SPRING BLOSSOM LN, SPARKS, NV 89434-8093
(775) 223-5104
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1043031
NV
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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