Individual
DR. JEAN ANN EKVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, DRPH, CHES, RN
Contact information
Practice address
520 W INDIAN AVE, BREWSTER, WA 98812
(509) 689-2525
(509) 689-3247
Mailing address
PO BOX 337, BREWSTER, WA 98812-0337
(509) 689-2525
(509) 689-3247
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000848
WA
163W00000X
Registered Nurse
RN00119314
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8260127
—
WA
Enumeration date
02/13/2007
Last updated
10/04/2011
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