| NPI | 1760215495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA ELIZABETH DAVIS Registered Dietitian 509-270-6568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 133VN1004X Dietitian, Registered Nutrition, Pediatric |
| 133VN1005X Dietitian, Registered Nutrition, Renal | |
| 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management | |
| 133VN1301X Dietitian, Registered Nutrition, Oncology | |
| 133VN1501X Dietitian, Registered Nutrition, Sports Dietetics | |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |