Individual
JILL S CORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1403 W 3RD AVE, SPOKANE, WA 99201-7023
(509) 484-8069
(509) 462-4086
Mailing address
PO BOX 709, NINE MILE FLS, WA 99026-0709
(509) 869-4737
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000338
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7602972
—
WA
Enumeration date
04/26/2007
Last updated
05/20/2022
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