Individual
MRS. KATY J VANDERWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 22ND AVE, BROOKINGS, SD 57006-2480
(605) 696-9000
(605) 696-7758
Mailing address
300 22ND AVE, BROOKINGS, SD 57006-2480
(605) 696-9000
(605) 696-7758
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0313
SD
Other
Enumeration date
11/13/2006
Last updated
08/11/2009
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