Individual
MS. KATHLEEN SQUIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 NICHOLS RD, NEWFANE, VT 05345-9594
(802) 365-7388
Mailing address
50 NICHOLS RD, NEWFANE, VT 05345
(802) 365-7388
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
074000145
VT
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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