Individual
KAROLINA BALKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5761 S FORT APACHE RD, BLD 8, LAS VEGAS, NV 89148-5506
(702) 341-6610
(702) 341-6961
Mailing address
5761 S FORT APACHE RD, BLD 8, LAS VEGAS, NV 89148-5506
(702) 341-6610
(702) 341-6961
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32626-DI-2
LICENSE
NV
Enumeration date
04/04/2018
Last updated
04/03/2020
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