Individual
JO-ANN B AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 773-0358
(702) 263-9493
Mailing address
9989 PRINCESS CUT ST, LAS VEGAS, NV 89183-6282
(702) 773-0358
(702) 263-9493
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
39654-DI-1
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
NV
Enumeration date
07/27/2014
Last updated
08/03/2023
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