Individual
KALEIGH O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
72 WATERFORD DR, CHAGRIN FALLS, OH 44022-4271
(440) 318-4787
Mailing address
72 WATERFORD DR, CHAGRIN FALLS, OH 44022-4271
(440) 318-4787
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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