SHANNON RAE MALLORY HERTZOG

BATTLE GROUND, WA
NPI1124602560
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WA  DI61176521)
Enumeration Date2021-05-11
Last Update Date2021-05-11
Business Address
SHANNON RAE MALLORY HERTZOG BS, MS
2005 W MAIN ST STE 130
BATTLE GROUND, WA 98604-4311
Phone number: 360-882-2778
Mailing Address
SHANNON RAE MALLORY HERTZOG BS, MS
700 NE 87TH AVE
VANCOUVER, WA 98664-4896
Phone number: 360-882-2778
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