Individual
KATHRYN JANSEN GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 S ASPEN ST STOP 89, BUCKLEY AFB, CO 80011-9562
(720) 847-6865
Mailing address
275 S ASPEN ST STOP 89, BUCKLEY AFB, CO 80011-9562
(720) 847-6865
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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