Individual
MRS. KATIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7731 BLUE HERON CT, FOUNTAIN, CO 80817-2840
(662) 801-4671
Mailing address
7731 BLUE HERON CT, FOUNTAIN, CO 80817-2840
(662) 801-4671
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003629
NC
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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