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NPI Code Detail

MEDICARE: MRS. CATHERINE HOWARD MS RD

MEDICARE: MRS. CATHERINE HOWARD MS RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133VN1201XObesity and Weight Management Nutrition Registered Dietitian

General Provider Information

NPI Number : 1669099883
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE HOWARD MS RD
Provider Business Mailing Address
First Line : 4014 PACIFIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-3232
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4014 PACIFIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-3232
Country : US
Telephone Number : 562-537-3297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2020
Last Update Date : 07/03/2020

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