Individual
MRS. CATHERINE HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE, LD
Contact information
Practice address
625 E BROADWAY AVE, SUITE 114, JACKSON, WY 83001-8642
(307) 733-3636
(888) 329-5701
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-7634
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
116
WY
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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