Individual
DANA MARIE OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
10808 E 58TH ST, RAYTOWN, MO 64133-3419
(701) 215-4207
Mailing address
10808 E 58TH ST, RAYTOWN, MO 64133-3419
(701) 215-4207
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2020022156
MO
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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