Individual
JANICE D WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDE
Contact information
Practice address
157 TOWNE AVE, PLAINFIELD, VT 05667-9425
(802) 454-8336
(802) 454-8339
Mailing address
PO BOX 320, PLAINFIELD, VT 05667-0320
(802) 454-8336
(802) 454-8339
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
074-0000052
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074-0000052
LICENSE
VT
05
—
1007166
—
VT
Enumeration date
05/08/2006
Last updated
04/02/2020
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