JACQUELYN ALLYSE FAGAN

TACOMA, WA
NPI1891239471
Former NameJACQUELYN ALLYSE CREWS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WA  DI 60713040)
Enumeration Date2016-12-15
Last Update Date2025-03-19
Business Address
JACQUELYN ALLYSE FAGAN RD, CD, CEP
2202 S CEDAR ST SUITE 300
TACOMA, WA 98405-2318
Phone number: 253-301-5280
Mailing Address
JACQUELYN ALLYSE FAGAN RD, CD, CEP
2202 S CEDAR ST STE 300
TACOMA, WA 98405-2318
Phone number: 253-301-5280
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