Individual
MRS. KATHRYN L OSTREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, RD, CDE
Contact information
Practice address
1100 MAGELLAN DR, TEHACHAPI, CA 93561-1380
(918) 640-1867
Mailing address
1100 MAGELLAN DR, TEHACHAPI, CA 93561-1380
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1595
OK
Other
Enumeration date
03/08/2010
Last updated
04/06/2020
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