Diabetic Life Academy, LLC
Diabetic Life Academy, LLC is a Registered Dietitian in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2010.
- Licensed in
- NV
- In the registry since
- 2010
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4270 S Decatur Blvd Ste B-1BLas Vegas, NV 89103-6800
Phone: (702) 880-9500
Fax: (702) 880-9507
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 2000394-810 (NV) |
|---|---|
| Registered Dietitian | Taxonomy 133V00000X · Licence 2061-0219 (NV) |
| Point of Service | Taxonomy 305S00000X · Licence 2061-0219 (NV) |
Record details
| NPI number | 1861701062 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brandy Mosley — Office Manager/Compliance Officer · (702) 880-9500 |
| NPI enumerated | October 5, 2010 |
| Last updated in NPPES | January 14, 2011 |
| Mailing address | 4270 S. Decatur Blvd., Suite B-1b, Las Vegas, NV 89103-6800 |
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-
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MS. Keala H Dolfo, RD
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Kelly Ana Douglass, RD
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