Individual provider · NPI-1

Angela Babcock, DIETITIAN

Dietitian, Registered · Las Vegas, NV

NPI number1952043903
StatusActive
Last updated in NPPESOct 23, 2024

Details

NPI
1952043903
Entity type
Individual (NPI-1)
Name
Angela Babcock
Credential
DIETITIAN
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 11, 2022
Certification date
Oct 21, 2024
Last updated
Oct 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

7281 W Charleston Blvd
Las Vegas, NV 89117-1592

Phone 702-870-7050 · Fax 702-870-7616

Mailing address

2903 Pinewood Drive
Sparks, NV 89434

Phone 602-561-1105

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