Individual
MRS. MOLLY E PETRIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LMNT CDE
Contact information
Practice address
2246 O ST, LINCOLN, NE 68510-1121
(402) 413-0430
Mailing address
1949 NW 44TH STREET, LINCOLN, NE 68528
(319) 621-6107
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01544
IA
Other
Enumeration date
01/10/2006
Last updated
06/15/2020
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