Individual
JOSHUA LEE EMMIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
507 HOSPITAL WAY, BREWSTER, WA 98812-0019
(509) 689-2517
Mailing address
5 LINDELL RD, OMAK, WA 98841-6101
(360) 957-1415
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61099363
WA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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