Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | DC2196 | NM |
NPI | 1003393885 |
---|---|
Provider Name | Dr. Catherine Denise Seat |
First Address | Albuquerque, NM 87110-1524 |
Second Address | Albuquerque, NM 87110-1524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2018 |
Last Update Date | 24/07/2018 |