Individual
BETH LEONARD SPONSELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 W HASTINGS RD STE 5, SPOKANE, WA 99218-2877
(509) 389-0903
Mailing address
624 W HASTINGS RD STE 5, SPOKANE, WA 99218-2877
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
712552
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
712552
RDN
—
Enumeration date
02/09/2018
Last updated
02/11/2018
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