Individual
KATHLEEN ERIN O'MEARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LN
Contact information
Practice address
7101 YORK AVE S STE 157, EDINA, MN 55435-4420
(612) 860-5285
Mailing address
1521 KALTERN LN, GOLDEN VALLEY, MN 55416-3507
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
N232
MN
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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