MRS. Mary Elizabeth Petrik, R.D. L. D.

NPI #1922101286 in Caldwell, Kansas

Provider Information

NPI Number
1922101286
Entity Type
Individual
Name
MRS. Mary Elizabeth Petrik, R.D. L. D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
R.D. L. D.
Enumeration Date
Sep 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
601 S OSAGE
State
Kansas
ZIP Code
67022-1654
Phone
(620) 845-6492

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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