Individual
MYLENE LOGANZDANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
1257 PAIUTE CIR, LAS VEGAS, NV 89106-3202
(702) 382-0784
Mailing address
1257 PAIUTE CIR, LAS VEGAS, NV 89106-3202
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
32623DI-0
NV
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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