Individual
KATHERINE MIKUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR
Contact information
Practice address
2301 E EVESHAM RD STE 111, VOORHEES, NJ 08043-4504
(856) 861-6320
Mailing address
201 JONATHAN LN, MARLTON, NJ 08053-1336
(609) 332-0382
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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