Individual
MICHELLE MAZUROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN,LD,LPTA
Contact information
Practice address
4215 S GRAND CANYON DR, SUITE 101, LAS VEGAS, NV 89147-7172
(702) 580-9742
Mailing address
11829 LUNA DEL MAR LN, LAS VEGAS, NV 89138-4529
(702) 580-9742
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
929429
NV
Other
Enumeration date
07/18/2013
Last updated
03/22/2017
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