Individual
KATHERYN ELIZABETH WILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD LD CDCES
Contact information
Practice address
3974 LONGVIEW RD, WEST MIDDLESEX, PA 16159-2912
(724) 977-5527
Mailing address
3974 LONGVIEW RD, WEST MIDDLESEX, PA 16159-2912
(724) 977-5527
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86050109
—
Other
Enumeration date
03/13/2022
Last updated
11/04/2022
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