Individual
MRS. MARGARET B PROCHASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
831 HIGHWAY 150 S, EVANSTON, WY 82930-5340
(307) 789-3464
(307) 789-4592
Mailing address
PO BOX 177, EVANSTON, WY 82931-0177
(307) 789-3464
(307) 789-4592
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
369292
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
369292
REGISTERED DIETITIAN/BACHELOR OF SCIENCE & MASTER OF BASIC SCIENCE
CO
Enumeration date
12/09/2009
Last updated
12/09/2009
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