Individual
TRISHA LYNN GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2506 SE 112TH AVE, VANCOUVER, WA 98664-5332
(360) 241-6000
Mailing address
2506 SE 112TH AVE, VANCOUVER, WA 98664-5332
(360) 260-8631
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
WA
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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