Individual
THERESA ANN O'CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 W PLYMOUTH AVE, DELAND, FL 32720-3236
(386) 943-4727
Mailing address
20102 LYMESTONE CT, NEW SMYRNA BEACH, FL 32168-1860
(386) 478-3898
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5453
FL
Other
Enumeration date
10/18/2009
Last updated
10/18/2009
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