Organization
KIMBERLY EMMICK RDN, CD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY EMMICK RDN, CD (REGISTERED DIETITIAN NUTRITIONIST)
(347) 901-0574
Entity
Organization
Contact information
Practice address
129 EDEN VALLEY RD, ROSBURG, WA 98643-9637
(347) 901-0574
Mailing address
129 EDEN VALLEY RD, ROSBURG, WA 98643-9637
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
DI00001781
WA
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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