Individual
MRS. RUTHMARIE GRAYBILL LAVEZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D. CDE
Contact information
Practice address
810 JASMINE, OMAK, WA 98841-0793
(509) 826-3158
(509) 826-2200
Mailing address
810 JASMINE, PO BOX 793, OMAK, WA 98841-0793
(509) 826-3158
(509) 826-2200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001178
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8260218
—
WA
Enumeration date
09/28/2006
Last updated
07/09/2007
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