Provider Demographics
NPI:1467708651
Name:GARZON, DEBRA DIANE (RD)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:DIANE
Last Name:GARZON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1073 PLEASING PLATEAU ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-3374
Mailing Address - Country:US
Mailing Address - Phone:702-494-7665
Mailing Address - Fax:702-685-5774
Practice Address - Street 1:1073 PLEASING PLATEAU ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002-3374
Practice Address - Country:US
Practice Address - Phone:702-494-7665
Practice Address - Fax:702-685-5774
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered