Individual
TRAVIS HAEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
14820 E 4TH AVE, SPOKANE VALLEY, WA 99216-2165
(509) 540-0168
Mailing address
8618 N BOYSENBERRY LOOP, HAYDEN, ID 83835-5126
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86300154
ID
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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