Most Relevant Information
Provider Data
| NPI Number: | 1003518200 |
| Provider Name: | JACLYN O'DONNELL MD, RD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/20/2023 |
| Last Updated: | 03/20/2023 |
Provider Practice Location
745 W MOANA LN STE 300
RENO
NV
895094980
Practice Location Phone/Fax
| Phone: | 7753275174 |
| Fax: |
Provider Mailing Location
745 W MOANA LN STE 300
RENO
NV
895094980
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |