Individual
MALVINA ANN GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CD
Contact information
Practice address
7102 W OKANOGAN PLACE, KENNEWICK, WA 99336
(509) 460-4246
(509) 585-1525
Mailing address
7102 W OKANOGAN PLACE, KENNEWICK, WA 99336
(509) 460-4246
(509) 585-1525
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
579458
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8267387
—
WA
Enumeration date
05/29/2008
Last updated
05/29/2008
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