NPI 1881422848

Katherine Mikusa, DTR

Practitioner Registered Dietetic Technician Voorhees, NJ

Practice location

Address: 2301 E Evesham Rd STE 111, Voorhees, NJ 08043-4504
Phone: (856) 861-6320
Mailing address: 201 Jonathan Ln, Marlton, NJ 08053-1336

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X

Other Dietetic Technician, Registered providers in New Jersey →

Registry record

NPI: 1881422848
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2024
Record last updated: 22 Jul 2024

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.