Organization
NUTRITION 4 BODY AND MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAPHNNE BALIZAN (OWNER)
(702) 812-8380
Entity
Organization
Contact information
Practice address
6671 S. LAS VEGAS BLVD., BLDG. D, SUITE 210, LAS VEGAS, NV 89119-3273
(702) 812-8380
Mailing address
10040 BAYSTONE ST, LAS VEGAS, NV 89141-8690
(702) 812-8380
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/26/2020
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