Individual
DR. VIJAY S. BHALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD,RD,LDN
Contact information
Practice address
2025 HIXON DR, LAS CRUCES, NM 88005-3306
(505) 523-1146
Mailing address
2025 HIXON DR, LAS CRUCES, NM 88005-3306
(505) 523-1146
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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