NPI 1164082053 · live from the CMS NPI Registry
Mary Joy Inoceda De Guzman-Walters, RD
Dietitian, Registered in Las Vegas, NV. National Provider Identifier 1164082053, active.
NPI record
| NPI | 1164082053 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 11768 Via Esperanza Ave, Las Vegas, NV 89138 |
| Practice phone | 702-493-1176 |
| Enumerated | June 13, 2019 |
| Last updated | June 14, 2019 |
| Sole proprietor | Yes |
| Other names | Mary Joy De Guzman |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 848585 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.