MRS. Katy J Vanderwal

NPI #1376614958 in Brookings, South Dakota

Provider Information

NPI Number: 1376614958
Entity Type: Individual
Name: MRS. Katy J Vanderwal
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Nov 13, 2006
Last Updated: Aug 11, 2009

Practice Location

Address: 300 22ND AVE
City: Brookings
State: South Dakota
ZIP Code: 57006-2480
Phone: (605) 696-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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