JORDAN WILSON
Dietitian, Registered
Active
Individual
NPI: 1962914341
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dietitian, Registered | 133V00000X | Yes | 39201-DI-0 (NV) |
Frequently Asked Questions
NPI 1962914341 is the National Provider Identifier for JORDAN WILSON, a Dietitian, Registered provider located in Las Vegas, NV. This NPI was enumerated on October 25, 2017.
JORDAN WILSON practices at 2075 E FLAMINGO RD -SOUTHMAGNA, ROOM242, Las Vegas, NV 89119.
Quick Facts
- NPI
- 1962914341
- Type
- Individual
- Enumerated
- Oct 25, 2017
- Last Updated
- Oct 25, 2017
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