Individual
MS. TIFFANY WAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3131 LA CANADA ST, LAS VEGAS, NV 89169-2578
(702) 636-3000
Mailing address
3131 LA CANADA ST, LAS VEGAS, NV 89169-2578
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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