Individual
KATIE ELLEN MATHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
15 RYE ST, PORTSMOUTH, NH 03801-6829
(774) 282-0364
Mailing address
15 RYE ST, PORTSMOUTH, NH 03801-6829
(774) 282-0364
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0689
NH
133V00000X
Registered Dietitian
LDN00898
RI
Other
Enumeration date
04/18/2016
Last updated
09/15/2017
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