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Dietary & Nutritional Service Providers Dietitian, Registered Nutrition, Metabolic

Provider NPI: 1831507318

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 608-890-5476  Fax: --

Business Mailing Address:
600 HIGHLAND AVE E5/683 MADISON, WI 53792-0001 US
Tel: --  Fax: --

NPI Information:
NPI: 1831507318
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y133VN1006XDietary & Nutritional Service Providers
Dietitian, Registered
Nutrition, Metabolic

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 133VN1006X





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