Individual
DEBRA SUE DEFRATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
601 W 1ST AVE, SPOKANE, WA 99201-3825
(509) 474-5391
(509) 474-5393
Mailing address
PO BOX 469, SPOKANE, WA 99210-0469
(509) 474-5391
(509) 474-5393
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001883
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7122724
—
WA
01
—
P00386781
MEDICARE RAILROAD
WA
Enumeration date
10/11/2006
Last updated
12/14/2007
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