Individual
MISS BETHANY A DESCHAMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVENUE, JOINT BASE LEWIS MCCHORD, WA 98431-1110
(785) 239-8612
(785) 239-7364
Mailing address
MADIGAN ARMY MEDICAL CTR, 9040 JACKSON AVENUE, TACOMA, WA 98431-1110
(785) 239-8612
(785) 239-7364
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06619
TX
Other
Enumeration date
09/08/2006
Last updated
02/19/2019
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