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Theresa Dohm, RD LD CNSC

Dietitian, Registered in Joplin, MO. Individual provider (NPI-1).

NPI number1851721997
StatusActive
Last updated in NPPESNov 26, 2013

Details

NPI
1851721997
Entity type
Individual (NPI-1)
Name
Theresa Dohm
Credential
RD LD CNSC
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 26, 2013
Last updated
Nov 26, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered2007024809MOYes

Practice location

1716 Kansas Ave
Joplin, MO 64804-0938

Phone 417-396-0993

Mailing address

1716 Kansas Ave
Joplin, MO 64804-0938

Phone 417-396-0993

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