Individual
KATHERINE V PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
302 W NORTH ST APT 26, WAUKESHA, WI 53188-5142
(630) 605-6265
Mailing address
302 W NORTH ST APT 26, WAUKESHA, WI 53188-5142
(630) 605-6265
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3414-29
WI
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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