Organization
CULTIVATE WELLNESS NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY Y LAI RDN (MANAGING MEMBER)
(323) 333-1818
Entity
Organization
Contact information
Practice address
3113 VILLA COLONADE DRIVE, LAS VEGAS, NV 89128
(702) 623-2263
Mailing address
304 S JONES BLVD # 2851, LAS VEGAS, NV 89107-2623
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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