Individual
ROSALINE PATRICIA MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4012 S 15TH ST, RIDGEFIELD, WA 98642-8389
(360) 980-1869
Mailing address
4012 S 15TH ST, RIDGEFIELD, WA 98642-8389
(360) 980-1869
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61498617
WA
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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