Individual
MRS. KRYSTEN NYKOLE CRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
36 KLONDIKE RD, REPUBLIC, WA 99166-9701
(509) 775-3333
Mailing address
1049 SUNNY BROOK WAY, ADDY, WA 99101-6000
(509) 991-2324
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1018437
WA
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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