Individual
ANNE O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1740
(505) 925-7491
(505) 925-6158
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
LD-0716
NM
Other
Enumeration date
04/28/2010
Last updated
10/05/2024
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