| Katy Elizabeth Basquez, MNT | |
|
1200 Ralston Ave, Defiance, OH 43512-1396 | |
| (419) 782-4492 | |
| (419) 782-4427 |
| Full Name | Katy Elizabeth Basquez |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1200 Ralston Ave, Defiance, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669552725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | RD85007314 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Katy Elizabeth Basquez, MNT 1200 Ralston Ave, Defiance, OH 43512-1396 Ph: (419) 782-4492 | Katy Elizabeth Basquez, MNT 1200 Ralston Ave, Defiance, OH 43512-1396 Ph: (419) 782-4492 |
Debra M Radcliff, MNT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1200 Ralston Ave, Defiance, OH 43512 Phone: 419-783-4492 Fax: 419-782-4427 | |
Raymond Scott Payne, MFN RDN LD Dietitian Medicare: Medicare Enrolled Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 | |
Annetta J Corcoran, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 E 2nd St, Defiance, OH 43512 Phone: 419-784-1414 Fax: 419-783-2799 |