Individual
BREANNE MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
801 E WHEELER RD, MOSES LAKE, WA 98837-1820
(509) 793-9605
(509) 764-3203
Mailing address
660 S COOLIDGE ST, MOSES LAKE, WA 98837-1872
(509) 793-9715
(509) 764-3244
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61117917
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2173383
—
WA
Enumeration date
10/22/2020
Last updated
10/17/2024
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