Individual
KATHERINE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2269 HALSTED LN, AURORA, IL 60503-7616
(813) 415-1073
Mailing address
2269 HALSTED LN, AURORA, IL 60503-7616
(813) 415-1073
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006880
IL
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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