Individual
MRS. KATHERINE L. BLANDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
21 PEACE ST, PROVIDENCE, RI 02907-1510
(401) 456-4316
(401) 456-4192
Mailing address
38 MEADOW VIEW DR, SMITHFIELD, RI 02917-1843
(401) 232-2607
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
120
RI
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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