Individual
MICHELLE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
6040 S FORT APACHE RD, SUITE 100, LAS VEGAS, NV 89148
(702) 475-4007
(702) 475-4060
Mailing address
6040 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5613
(702) 475-4007
(702) 475-4060
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
32302DI-0
NV
Other
Enumeration date
08/14/2014
Last updated
09/02/2024
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