Individual
SUSAN WEITKUNAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD CDE
Contact information
Practice address
140 S WILCOX ST, SUITE A, CASTLE ROCK, CO 80104-1911
(303) 807-4522
Mailing address
200 S WILCOX ST, #150, CASTLE ROCK, CO 80104-1913
(303) 807-4522
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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