Organization
PEDIATRIC NUTRITION OF SOUTHERN NEVADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM CISEK RD (REGISTERED DIETITIAN)
(702) 813-4318
Entity
Organization
Contact information
Practice address
3148 ECKING AVE, HENDERSON, NV 89044-0291
(702) 813-4318
Mailing address
401 RYLAND ST STE 200A, RENO, NV 89502-1643
(702) 813-4318
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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