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Organization

HAIRSTON NUTRITION CONSULTING PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL HAIRSTON JR. RDN (PRESIDENT)
(725) 599-3080
Entity
Organization

Contact information

Practice address
2610 W HORIZON RIDGE PKWY STE 101, HENDERSON, NV 89052-2870
(725) 599-3080
Mailing address
PO BOX 777698, HENDERSON, NV 89077-7698

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
11/21/2023
Last updated
02/18/2024
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