Individual
LAURA RENHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2075 E FLAMINGO RD, LAS VEGAS, NV 89119-5188
(702) 369-7639
Mailing address
2075 E FLAMINGO RD, LAS VEGAS, NV 89119-5188
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1076952
NV
133V00000X
Registered Dietitian
32952DI-0
NV
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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