Individual
MRS. JAMIE LYNN SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9600 VETERANS DR SW, TACOMA, WA 98493-0003
(253) 583-2365
Mailing address
1623 TITLOW RD, TACOMA, WA 98465-1023
(253) 752-1363
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
883011
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
883011
RD LISCENSE
WA
Enumeration date
06/30/2006
Last updated
07/08/2007
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