Individual
GAELEN LEH RITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 S WESTERN AVE, TONASKET, WA 98855-8803
(509) 486-2784
Mailing address
203 S. WESTERN AVE, C/O: CREDENTIALING, TONASKET, WA 98855
(509) 486-3144
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60858698
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003997
—
WA
Enumeration date
05/24/2022
Last updated
05/24/2022
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