Individual
KATHRYN MARIE O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 383-2075
Mailing address
1259 S 9TH ST, LAS VEGAS, NV 89104-1524
(702) 538-6362
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1072940
NV
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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