Individual
JESSICA DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CD
Contact information
Practice address
16528 E DESMET CT STE 3100, SPOKANE VALLEY, WA 99216-3522
(509) 944-9440
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86100704
WA
Other
Enumeration date
10/05/2021
Last updated
12/15/2023
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