Individual
JENNIFER LAUREL TREVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LD RDN
Contact information
Practice address
4215 S GRAND CANYON DR STE 101, LAS VEGAS, NV 89147-7173
(702) 664-1204
Mailing address
4215 S GRAND CANYON DR STE 101, LAS VEGAS, NV 89147-7173
(702) 664-1204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
39307-DI-0
NV
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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