Individual
THERESA DOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD CNSC
Contact information
Practice address
1716 KANSAS AVE, JOPLIN, MO 64804-0938
(417) 396-0993
Mailing address
1716 KANSAS AVE, JOPLIN, MO 64804-0938
(417) 396-0993
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2007024809
MO
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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