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Individual

HANNAH WAPATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
803 S MAIN ST STE 220, MOSCOW, ID 83843-2695
(509) 846-3349
Mailing address
503 E 7TH ST APT D, MOSCOW, ID 83843-3067
(509) 846-3349

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
9521789
ID

Other

Enumeration date
09/03/2024
Last updated
09/03/2024
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