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KATHERINE FOSSMAN RDN, LD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1275914921

Individual Registrant:
 KATHERINE  FOSSMAN RDN, LD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
55 HAINES HWY BOX 887 HAINES, AK 99827-9800 US
Tel: 860-335-3733  Fax: --

Contact information for business:
PO BOX 887  HAINES, AK 99827-0887 US
Tel: 907-766-3555  Fax: --

Registration Information:
NPI: 1275914921
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
AK101197

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AK - Page 1

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