Individual
JESSICA RAE GOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
315 MARTIN LUTHER KING JR. WAY, MS: 315-K1-NS, TACOMA, WA 98405
(877) 508-7229
Mailing address
PO BOX 769, GRAHAM, WA 98338-0769
(877) 508-7229
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001674
WA
Other
Enumeration date
12/28/2007
Last updated
01/28/2022
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