TARA SPRAGUE

COOS BAY, OR
NPI1194247577
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  LD-D-10182256)
Enumeration Date2017-07-07
Last Update Date2017-07-07
Business Address
TARA SPRAGUE RD
1775 THOMPSON RD
COOS BAY, OR 97420
Phone number: 541-269-8182
Mailing Address
TARA SPRAGUE RD
1775 THOMPSON RD
COOS BAY, OR 97420-2125
Phone number: