Mary Koch

NPI #1164848115 in Fallon, Nevada

Provider Information

NPI Number
1164848115
Entity Type
Individual
Name
Mary Koch
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Enumeration Date
Mar 14, 2014
Last Updated
May 30, 2018

Practice Location

Address
801 E WILLIAMS AVE
City
Fallon
State
Nevada
ZIP Code
89406
Phone
(775) 867-7086

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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