Holly Nicole Weare, RD

NPI #1902253164 in Lebanon, Oregon

Provider Information

NPI Number: 1902253164
Entity Type: Individual
Name: Holly Nicole Weare, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: May 18, 2016
Last Updated: May 18, 2016

Practice Location

Address: 525 N SANTIAM HWY
City: Lebanon
State: Oregon
ZIP Code: 97355-4363
Phone: (541) 451-7122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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