Joey Lyn Sjostrom RD

NPI 1396889507 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1396889507
Gender Female
Enumeration Date 02/19/2007
Last Updated 02/29/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
6140 S FORT APACHE RD
SUITE #100
LAS VEGAS NV, 89148-6736, US
Phone (702) 878-5639
Fax
Business Location
9859 JAZZY JUNE ST
LAS VEGAS NV, 89183-3536, US
Phone (702) 878-5639
Fax
Toxanomy
Taxonomy Code 133V00000X
License State California
License Number 844423
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According to our database, Mrs. Joey Lyn Sjostrom RD NPI is 1396889507, taxonomy code is 133V00000X and license number is 844423, license state is located at California. Joey Lyn Sjostrom RD physically located at 6140 S Fort Apache Rd, Las Vegas NV, 89148-6736. NPI Number Joey Lyn Sjostrom RD has the Individual type.

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1396889507 NPI number is provided on an as is basis without warranty of any kind. 1396889507 is maintained by the National Plan & Provider Enumeration System. The contents of Joey Lyn Sjostrom RD are for informational purposes only.