Individual
KATIE BROCKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
550 15TH ST UNIT 205, SAN DIEGO, CA 92101-7576
(760) 646-7506
Mailing address
550 15TH ST UNIT 205, SAN DIEGO, CA 92101-7576
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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