Individual
MS. KAYAL KANNI DHEVI CHANDRAMOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-1143
(432) 640-1693
Mailing address
3903 OPORTO ST, ODESSA, TX 79765-4405
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1004347
TX
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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