Individual
JUDY ANN KWIATKOWSKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1007 LINCOLNWAY, LA PORTE, IN 46352-0250
(219) 326-1234
(219) 326-2509
Mailing address
53780 W POINTE BLVD, SOUTH BEND, IN 46628-4595
(574) 288-4965
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001357A
IN
Other
Enumeration date
12/08/2005
Last updated
07/08/2007
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