Individual
MARY BETH SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
400 E 5TH AVE, SPOKANE, WA 99202-1334
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000818
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8329674
—
WA
Enumeration date
08/24/2005
Last updated
12/15/2008
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