Individual
MRS. KATHLEEN VAN DE WEERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
115 PORTER DR, NUTRITION SERVICES, MIDDLEBURY, VT 05753-8423
(802) 989-6297
Mailing address
115 PORTER DR, NUTRITION SERVICES, MIDDLEBURY, VT 05753-8423
(802) 989-6297
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
074.0123002
VT
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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