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Individual

IRENE M RAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
10 NICHOLS ST, DAVENPORT, WA 99122-9729
(509) 725-7101
(509) 725-2112
Mailing address
14022 E 42ND CT, VERADALE, WA 99037-9140
(509) 725-7101
(509) 725-2112

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000732
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8416141
WA
Enumeration date
05/08/2007
Last updated
07/09/2007
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