Individual
NICOLE RENEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1855 BARING BLVD APT 610, SPARKS, NV 89434-6765
(916) 704-0049
Mailing address
1855 BARING BLVD APT 610, SPARKS, NV 89434-6765
(916) 704-0049
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/09/2009
Last updated
04/27/2015
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