Individual
KATELIN MARIE MAIDMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
27515 160TH ST, NEW AUBURN, WI 54757-5247
(715) 402-0330
Mailing address
27515 160TH ST, NEW AUBURN, WI 54757-5247
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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