CANDY L JACKSON

SPOKANE, WA
NPI1912996257
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WA  DI00001765)
Enumeration Date2005-10-19
Last Update Date2009-08-10
Business Address
-- CANDY L JACKSON R.D.
1803 W MAXWELL AVE
SPOKANE, WA 99201-2831
Phone number: 509-325-5502
Mailing Address
-- CANDY L JACKSON R.D.
505 E NORTH FOOTHILLS DR
SPOKANE, WA 99207-2101
Phone number: 509-483-7535
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