Individual
KATRINA FORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
99 WHITCOMB DR, LANCASTER, MA 01523-2825
(661) 616-7373
Mailing address
99 WHITCOMB DR, LANCASTER, MA 01523-2825
(661) 616-7373
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4593
MA
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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