Individual
GRISELDA ROMERO ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
(509) 764-0344
Mailing address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
(509) 764-0344
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61010164
WA
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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