Individual
SARAH CAROSSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CD
Contact information
Practice address
600 E MAIN ST, ELMA, WA 98541-9560
(360) 346-2222
Mailing address
600 E MAIN ST, ELMA, WA 98541-9560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G000800088
CRITICAL ACCESS HOSPITAL
WA
Enumeration date
02/02/2019
Last updated
04/03/2019
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