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KATIE KOVAR-STRACK RDN

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

Registrant NPI Number: 1447600929

Individual Registrant:
 KATIE  KOVAR-STRACK RDN
Gender: F
Sole Proprietor

Location and contact information for practice:
508 ASPEN ST  VANDENBERG AFB, CA 93437-1322 US
Tel: 805-734-1206  Fax: --

Contact information for business:
508 ASPEN ST  VANDENBERG AFB, CA 93437-1322 US
Tel: --  Fax: --

Registration Information:
NPI: 1447600929
Entity Type: Individual

Specialty information:

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

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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