Individual
MACHAELA LYNNE COPENHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2020 E 29TH AVE, SPOKANE, WA 99203-3917
(888) 364-5977
Mailing address
4511 E 34TH LN, SPOKANE, WA 99223-6021
(509) 570-2565
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D161277062
WA
133V00000X
Registered Dietitian
—
WA
Other
Enumeration date
02/26/2022
Last updated
03/03/2022
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