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Individual

MS. KARI ROSE WATO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
US HWY 491 NORTH, NORTHERN NAVAJO MEDICAL CENTER, SHIPROCK, NM 87420
(505) 368-6205
Mailing address
PO BOX 160, NORTHERN NAVAJO MEDICAL CENTER, SHIPROCK, NM 87420
(505) 368-6205

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00995378
AZ
133V00000X
Registered Dietitian
LD0672
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15237371
NM
Enumeration date
12/20/2006
Last updated
08/27/2010
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