Individual
KATHERINE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/RDN
Contact information
Practice address
11555 CENTRAL PKWY STE 201, JACKSONVILLE, FL 32224-2693
(904) 300-2809
Mailing address
153 GLENEAGLE GRANDE DR, DAYTONA BEACH, FL 32124-3044
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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