Organization
THE FARE SQUARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SCOTT WRIGHT RDN, LDN (OWNER)
(210) 289-5859
Entity
Organization
Contact information
Practice address
373 MARTIN ST, SUITE 204, BLAINE, WA 98230-4108
(210) 289-5858
Mailing address
373 MARTIN ST, SUITE 204, BLAINE, WA 98230-4108
(210) 289-5858
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60578253
WA
Other
Enumeration date
10/01/2015
Last updated
05/21/2016
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