Individual
MS. NITA KATHRYN CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RDN/LD, CDCES
Contact information
Practice address
4366 MALAGA ST, LAS CRUCES, NM 88011-4340
(919) 270-5928
Mailing address
4366 MALAGA ST, LAS CRUCES, NM 88011-4340
(919) 270-5928
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-0874
NM
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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