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Individual

PEGGY A DEJONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
1605 SE 128TH CT, VANCOUVER, WA 98683-6435
(360) 254-6551
Mailing address
1605 SE 128TH CT, VANCOUVER, WA 98683-6435
(360) 254-6551

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DI 60023507
WA
133NN1002X
Nutrition Education Nutritionist
DI 60023507
WA

Other

Enumeration date
03/23/2009
Last updated
01/12/2015
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