Individual
KATHRYN J WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
30 LAS COLINAS LN, SAN JOSE, CA 95119-1212
(408) 284-2812
(408) 284-2812
Mailing address
30 LAS COLINAS LN, SAN JOSE, CA 95119-1212
(408) 284-2812
(408) 284-2812
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
666997
CA
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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