NPI 1720464696

Catherine Holland, RDCDELD

Practitioner Registered Dietitian Jackson, WY

Practice location

Address: 625 E Broadway Ave Suite 114, Jackson, WY 83001-8642
Phone: (307) 733-3636
Fax: (888) 329-5701
Mailing address: PO Box 428, Jackson, WY 83001-0428

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 116 (WY)

Other Dietitian, Registered providers in Wyoming →

Registry record

NPI: 1720464696
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Aug 2015
Record last updated: 3 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.