Individual
MRS. EMILY FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CD
Contact information
Practice address
801 E WHEELER RD, MOSES LAKE, WA 98837-1820
(509) 793-9605
(509) 764-3203
Mailing address
660 S COOLIDGE ST, MOSES LAKE, WA 98837-1872
(509) 793-9715
(509) 764-3244
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86155900
WA
Other
Enumeration date
08/04/2023
Last updated
08/10/2023
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