Trudy Bernice Ekstrom CN, MS, PHD

NPI 1952573453 - Nutritionist - 133N00000X

NPI Details
NPI 1952573453
Gender Female
Enumeration Date 03/25/2008
Last Updated 03/25/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2620 REGATTA DR
SUITE 102
LAS VEGAS NV, 89128-6891, US
Phone (702) 363-9260
Fax (702) 658-6721
Business Location
2620 REGATTA DR
SUITE 102
LAS VEGAS NV, 89128-6891, US
Phone (702) 363-9260
Fax (702) 658-6721
Toxanomy
Taxonomy Code 133N00000X
License State Nevada
License Number H11-00044-C-096986
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According to our database, Trudy Bernice Ekstrom CN, MS, PHD NPI is 1952573453, taxonomy code is 133N00000X and license number is H11-00044-C-096986, license state is located at Nevada. Trudy Bernice Ekstrom CN, MS, PHD physically located at 2620 Regatta Dr, Las Vegas NV, 89128-6891. NPI Number Trudy Bernice Ekstrom CN, MS, PHD has the Individual type.

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1952573453 NPI number is provided on an as is basis without warranty of any kind. 1952573453 is maintained by the National Plan & Provider Enumeration System. The contents of Trudy Bernice Ekstrom CN, MS, PHD are for informational purposes only.