Individual
KATEY NICOLE SPACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
7085 N CHESTNUT AVE STE 101, FRESNO, CA 93720-0353
(559) 323-9236
(559) 323-0294
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
963052
CA
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
963052
CA
Other
Enumeration date
01/30/2013
Last updated
02/09/2021
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