Individual
GEETHA KRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,MA,RD,CDE,LD
Contact information
Practice address
8062 MINOTS LEDGE AVE, LAS VEGAS, NV 89147-4787
(702) 485-3645
Mailing address
8062 MINOTS LEDGE AVE, LAS VEGAS, NV 89147-4787
(702) 507-4569
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
34956DI-0
NV
133V00000X
Registered Dietitian
620974
NJ
Other
Enumeration date
08/26/2014
Last updated
04/20/2017
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