Individual
KATHERYN MARIE PEEBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,CDE
Contact information
Practice address
12201 PERCIVAL ST, CHESTER, VA 23831-4430
(804) 310-5720
(804) 287-7839
Mailing address
12201 PERCIVAL ST, CHESTER, VA 23831-4430
(804) 310-5720
(804) 287-7839
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
46035
VA
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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