Individual
DR. PREM SAGAR DEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
7601 TRADITIONS AVE NE, LACEY, WA 98516-1335
(360) 455-8785
(360) 455-8785
Mailing address
7601 TRADITIONS AVE NE, LACEY, WA 98516-1335
(360) 455-8785
(360) 455-8785
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
NT00001567
WA
Other
Enumeration date
01/19/2009
Last updated
01/19/2009
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