Individual
RITA S OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1408 19TH AVE, FAIRBANKS, AK 99701-5903
(907) 451-6682
(907) 459-3976
Mailing address
1107 PIKA RD, PO BOX 80807, FAIRBANKS, AK 99708-0807
(907) 479-4535
(907) 474-0519
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
128
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128
LICENSURE DIETITIAN
AK
Enumeration date
06/27/2008
Last updated
06/27/2008
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