Individual
MS. KATHERINE M. MOODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 279-5126
Mailing address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 297-5126
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT00718
TX
Other
Enumeration date
08/21/2006
Last updated
07/12/2007
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