Individual
JACIE L VAN BLARICOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DI
Contact information
Practice address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-1753
(509) 633-1933
Mailing address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-1753
(509) 633-1933
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60513122
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040919
—
WA
Enumeration date
11/05/2014
Last updated
03/13/2018
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