Individual
KRISTIN MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 THOMPSON LN STE 22200, NASHVILLE, TN 37204-4648
(615) 875-0203
Mailing address
719 THOMPSON LN STE 22200, NASHVILLE, TN 37204-4648
(615) 875-0203
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
836553
TN
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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