Individual
MR. DEBRA SUE SANDVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,CD, IBCLC
Contact information
Practice address
507 N NANUM ST, SUITE 102, ELLENSBURG, WA 98926-2886
(509) 962-7515
(509) 962-7581
Mailing address
507 N NANUM ST, SUITE 102, ELLENSBURG, WA 98926-2886
(509) 962-7515
(509) 962-7581
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
818154
WA
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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