Individual
MISS KATHERINE ELIZABETH KACZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
191 ARGONNE AVE, STE 3, LONG BEACH, CA 90803-3231
(562) 434-6007
Mailing address
191 ARGONNE AVE, STE 3, LONG BEACH, CA 90803-3231
(562) 434-6007
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1066193
WA
Other
Enumeration date
08/02/2013
Last updated
08/14/2014
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