Organization
FOOD CONNECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE MAZUROWSKI R.D. (OWNER)
(702) 580-9742
Entity
Organization
Contact information
Practice address
4215 S GRAND CANYON DR, SUITE 101, LAS VEGAS, NV 89147-7172
(702) 664-1204
Mailing address
9401 ANGELFISH DR, LAS VEGAS, NV 89117-0193
(702) 580-9742
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NV20131346778
NV
Other
Enumeration date
07/18/2013
Last updated
03/22/2017
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