Individual
JESSICA BETH BERGHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CD
Contact information
Practice address
10102 E 17TH LN, SPOKANE VALLEY, WA 99206-3427
(509) 939-2241
Mailing address
1418S ADAMS ST, SPOKANE, WA 99203-1034
(509) 939-2241
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1018452
WA
Other
Enumeration date
11/26/2012
Last updated
08/19/2015
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