Individual
BRYANNA LYNN GONDEIRO-PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NU60616065
Contact information
Practice address
2772 S GRAND BLVD, SPOKANE, WA 99203-2526
(509) 456-0888
(509) 456-0999
Mailing address
2772 S GRAND BLVD, SPOKANE, WA 99203-2526
(509) 456-0888
(509) 456-0999
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU60616065
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NU60616065
NUTRITIONIST CERTIFICATION
WA
Enumeration date
10/18/2017
Last updated
10/18/2017
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