Individual
KATIE MARIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1161 CHESTNUT COVE RD, SYLVA, NC 28779-7246
(260) 494-9858
Mailing address
1161 CHESTNUT COVE RD, SYLVA, NC 28779-7246
(260) 494-9858
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005088
NC
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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