Individual
WHITNEY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
8169 S 185TH ST, OMAHA, NE 68136-6451
(662) 322-9037
Mailing address
8169 S 185TH ST, OMAHA, NE 68136-6451
(662) 322-9037
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
114288
IA
Other
Enumeration date
08/11/2020
Last updated
03/05/2024
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