Individual
MISS KATHERINE JOHANNA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
449 TARTAN CT, FAYETTEVILLE, NC 28311-1694
(623) 229-3353
Mailing address
449 TARTAN CT, FAYETTEVILLE, NC 28311-1694
(623) 229-3353
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003504
NC
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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