Organization
M D DEVELOPMENTAL AGENCY LLC
Active
Other names
M D Developmental Agency LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA STEWART (CO OWNER)
(773) 407-7558
Entity
Organization
Contact information
Practice address
2520 SAINT ROSE PKWY STE H2-216, HENDERSON, NV 89074-7783
(702) 268-8513
(702) 852-0430
Mailing address
2520 SAINT ROSE PKWY STE H2-216, HENDERSON, NV 89074-7783
(702) 268-8513
(702) 852-0430
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/15/2025
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