Individual
CLANCY O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8415 BELLONA LN, TOWSON, MD 21204-2055
(410) 370-0415
Mailing address
1 VIA SUMMA, SANTA FE, NM 87507-8071
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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