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Individual

KATHARINE DESOUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
861 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2401
(215) 302-3600
Mailing address
3462 AINSLIE ST APT A, PHILADELPHIA, PA 19129-1426
(603) 986-0688

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007300
PA

Other

Enumeration date
12/22/2020
Last updated
12/28/2020
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