Individual
KATELIN MARIE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSP
Contact information
Practice address
725 WELCH RD, MAIL CODE: 5891, PALO ALTO, CA 94304-1601
(650) 460-4366
Mailing address
725 WELCH RD, MAIL CODE: 5891, PALO ALTO, CA 94304-1601
(650) 460-4366
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
1045026
MI
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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