Individual
LAILI ABD LATIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD CD
Contact information
Practice address
7102 WEST OKANOGAN PLACE, BENTON FRANKLIN HEALTH DISTRICT, KENNEWICK, WA 99336
(509) 460-4248
(509) 585-1525
Mailing address
7102 WEST OKANOGAN PLACE, KENNEWICK, WA 99336
(509) 460-4248
(509) 585-1525
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
724425
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8267379
—
WA
Enumeration date
06/06/2008
Last updated
06/06/2008
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