Individual
MISS JEANNIE LISE BELLE CASTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, IBCLC
Contact information
Practice address
4229 GLEN TERRA DR SE, OLYMPIA, WA 98503-7165
(208) 921-4145
Mailing address
4229 GLEN TERRA DR SE, OLYMPIA, WA 98503-7165
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
60629287
WA
174N00000X
Lactation Consultant (Non-RN)
L-302017
—
Other
Enumeration date
10/15/2020
Last updated
01/01/2021
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