Individual
KATHLEEN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NTP
Contact information
Practice address
1310 DELFINO WAY, MENLO PARK, CA 94025-6024
(650) 575-1224
Mailing address
1310 DELFINO WAY, MENLO PARK, CA 94025-6024
(650) 575-1224
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
9563
CA
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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