Individual
KATHERINE BASBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 FIELDING DR, CHARLOTTESVILLE, VA 22902-6458
(415) 269-7065
Mailing address
116 FIELDING DR, CHARLOTTESVILLE, VA 22902-6458
(415) 269-7065
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/03/2018
Last updated
04/04/2018
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