Individual
KIMBERLY ANN MAUSBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
13003 EAGLE ST, OMAHA, NE 68142-5191
(402) 595-0072
Mailing address
13003 EAGLE ST, OMAHA, NE 68142-5191
(402) 595-0072
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
350
NE
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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