Individual
CANDICE O'HARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1217 CHAMBERLAIN DR, JACKSON, MO 63755-2940
(573) 934-5572
Mailing address
1217 CHAMBERLAIN DR, JACKSON, MO 63755-2940
(573) 934-5572
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2008029879
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13826318
CAQH
MO
Enumeration date
05/18/2016
Last updated
05/18/2016
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