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Individual

TARA ELAINE GRAYBEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
10807 E MONTGOMERY DR, SPOKANE VALLEY, WA 99206-4777
(509) 924-1826
(509) 924-6258
Mailing address
10807 E MONTGOMERY DR, SPOKANE VALLEY, WA 99206-4777
(509) 924-1826
(509) 924-6258

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI 00001382
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
133V00000X
TAXONOMY
WA
Enumeration date
08/17/2010
Last updated
08/17/2010
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