Individual
LAURA WISNIESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2901
Mailing address
6300 MCCARRAN ST, APT 2104, N LAS VEGAS, NV 89081-8135
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND6123
FL
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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