Individual
NAKIA ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2121 E FLAMINGO RD STE 110, LAS VEGAS, NV 89119-5123
(702) 382-8841
(702) 369-2370
Mailing address
2121 E FLAMINGO RD STE 110, LAS VEGAS, NV 89119-5123
(702) 382-8841
(702) 369-2370
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
39216-DI-2
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100556142
—
NV
Enumeration date
11/27/2015
Last updated
10/06/2021
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