Individual
NATALIE JACE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2300 N MAYFAIR RD, 425, WAUWATOSA, WI 53226-1505
(414) 727-4455
Mailing address
928 W WISCONSIN AVE, OCONOMOWOC, WI 53066-2625
(262) 567-4653
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
814855
WI
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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