Individual
NINA DE MOL VAN OTTERLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3519 21ST, LUBBOCK, TX 79410
(806) 725-4386
Mailing address
3509 21ST STREET, 6TH FLOOR, LUBBOCK, TX 79410
(806) 725-4386
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT92890
TX
Other
Enumeration date
03/28/2026
Last updated
04/23/2026
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