Organization
FIVE RINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M LANDIS (DIRECTOR)
(360) 719-1744
Entity
Organization
Contact information
Practice address
6715 NE 63RD ST, 259, VANCOUVER, WA 98661-1980
(360) 719-1744
Mailing address
6715 NE 63RD ST, 259, VANCOUVER, WA 98661-1980
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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