Individual
KATHERINE ROUSE MIKELAITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
301 E WENDOVER AVE STE 311, GREENSBORO, NC 27401-1210
(336) 272-6161
(336) 230-2150
Mailing address
301 E WENDOVER AVE STE 311, GREENSBORO, NC 27401-1210
(336) 272-6161
(336) 230-2150
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
10/08/2020
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