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Individual
DR. JEAN ANN EKVALL
Active
Individual
DR. JEAN ANN EKVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, DRPH, CHES, RN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000848
WA
163W00000X
Registered Nurse
RN00119314
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8260127
—
WA
Enumeration date
02/13/2007
Last updated
10/04/2011
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