Individual
MICHELLE DEJEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3679
(702) 653-2924
Mailing address
7664 APACHE CLIFF ST, LAS VEGAS, NV 89113-3263
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
863038
—
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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