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Individual

TRUDY BERNICE EKSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CN, MS, PHD

Contact information

Practice address
2620 REGATTA DR, SUITE 102, LAS VEGAS, NV 89128-6891
(702) 363-9260
(702) 658-6721
Mailing address
2620 REGATTA DR, SUITE 102, LAS VEGAS, NV 89128-6891
(702) 363-9260
(702) 658-6721

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
H11-00044-C-096986
NV

Other

Enumeration date
03/25/2008
Last updated
03/25/2008
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