Organization · NPI-2
Allied Performance, LLC
Dietitian, Registered · Las Vegas, NV
NPI number1447860135
StatusActive
Last updated in NPPESAug 6, 2020
Details
- NPI
- 1447860135
- Entity type
- Organization (NPI-2)
- Legal business name
- Allied Performance, LLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2020
- Certification date
- Aug 6, 2020
- Last updated
- Aug 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Other names
- Allied Performance, LLC (Doing Business As)
Practice location
8275 S Eastern Ave Ste 200Las Vegas, NV 89123-2545
Phone 702-300-4250
Mailing address
6005 Bassio AveLas Vegas, NV 89141-0445
Phone 702-300-4250
Authorized official
Damon Mccune
Owner
7023004250
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