NPI 1164848115

Mary Koch

Practitioner Registered Dietitian Fallon, NV

Practice location

Address: 801 E Williams Ave, Fallon, NV 89406
Phone: (775) 867-7086
Mailing address: 801 E Williams Ave, Fallon, NV 89406-3052

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 32648-DI-2 (NV)

Other Dietitian, Registered providers in Nevada →

Registry record

NPI: 1164848115
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Mar 2014
Record last updated: 30 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.