| NPI | 1184054967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YLLOLANDA ESQUEDA Credentialing Specialist 509-574-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI00001696) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |