Individual
RUTH LOUISE NEKONCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE, LMNT
Contact information
Practice address
8601 W DODGE RD, SUITE # 30, OMAHA, NE 68114-3457
(402) 354-8797
(402) 354-5651
Mailing address
3111 S 159TH ST, OMAHA, NE 68130-1932
(402) 334-2660
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
236
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236
RD, LMNT
NE
Enumeration date
06/07/2007
Last updated
07/08/2007
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