Organization
NORTHWEST FAMILY NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL CORRELL (REGISTERED DIETITIAN)
(509) 869-4737
Entity
Organization
Contact information
Practice address
9814 W OWNBY DR, NINE MILE FALLS, WA 99026-9622
(509) 869-4737
Mailing address
9814 W OWNBY DR, NINE MILE FALLS, WA 99026-9622
(509) 869-4737
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000338
WA
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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