Individual
JANICE IRENE STIXRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-2400
Mailing address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-2400
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI 00000404
WA
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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