Individual
TISHA WHATCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1000 E ELEP AVE, COLVILLE, WA 99114-5014
(509) 684-2573
Mailing address
PO BOX 251, KINGSTON, ID 83839-0251
(208) 512-9028
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-497
ID
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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