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Individual

CASSANDRA RAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
3101 NEWMARKET ST STE 103, BELLINGHAM, WA 98226-3801
(425) 778-2220
Mailing address
19930 BALLINGER WAY NE, SHORELINE, WA 98155-1223
(425) 778-2220

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60780750
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DI00001557
STATE LICENSE
WA
Enumeration date
08/18/2017
Last updated
01/30/2018
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