Individual
MS. MARY JANE SANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
26 WEST H STREET, SUITE B, DEER PARK, WA 99006-2200
(509) 276-7522
(509) 276-7522
Mailing address
PO BOX 2200, 26 WEST H STREET, STE B, DEER PARK, WA 99006-2200
(509) 276-7522
(509) 276-7522
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000785
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7601149
—
WA
Enumeration date
06/23/2006
Last updated
10/15/2007
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