Karen Sue Tait I, D.T. (DIETETIC TECH)

NPI #1053622746 in Glendale, Wisconsin

Provider Information

NPI Number
1053622746
Entity Type
Individual
Name
Karen Sue Tait I, D.T. (DIETETIC TECH)
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nutritionist
Credential
D.T. (DIETETIC TECH)
Enumeration Date
Jun 28, 2010
Last Updated
Jun 28, 2010

Practice Location

Address
434 W RIVER FRONT DR
ZIP Code
53217-4459
Phone
(414) 881-1206

Specialties & Taxonomy Codes

Specialty
Nutritionist

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