Individual
COLLEEN DUEWIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1257 PAIUTE CIRCLE, LAS VEGAS, NV 89106-3202
(702) 382-0784
Mailing address
1257 PAIUTE CIRCLE, LAS VEGAS, NV 89106-3202
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1064169
NY
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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