Individual
MRS. TARA L. CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2121 E FLAMINGO RD STE 114, LAS VEGAS, NV 89119-5123
(702) 382-8841
Mailing address
2121 E FLAMINGO RD STE 114, LAS VEGAS, NV 89119-5123
(702) 382-8841
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
33517DI-0
NV
Other
Enumeration date
08/10/2009
Last updated
09/17/2013
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