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Individual

ALEX MOFFITT TOBOSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 414-3131
Mailing address
101 W 8TH AVE, SPOKANE, WA 99204-2364

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61005859
WA
133V00000X
Registered Dietitian

Other

Enumeration date
09/17/2019
Last updated
11/25/2019
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