Individual
LESLIE ANN WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1515 S TECHNOLOGY RD, SPOKANE, WA 99224-5003
(888) 664-0363
Mailing address
3091 N ATLAS RD APT 304, COEUR D ALENE, ID 83814-6359
(720) 323-3932
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-1450
ID
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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