Individual
JESSICA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 MAGNOLIA DR, HENDERSON, NV 89014-4539
(702) 379-2338
Mailing address
1915 MAGNOLIA DR, HENDERSON, NV 89014-4539
(702) 379-2338
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
32951-DI-4
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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