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Individual

MS. DEVIN L TOWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, CD

Contact information

Practice address
1550 S PIONEER WAY, MOSES LAKE, WA 98837-4613
(509) 793-9780
(509) 764-3244
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
954800
133V00000X
Registered Dietitian
Primary
DI00001757
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2161329
WA
05
8450538
WA
Enumeration date
01/29/2007
Last updated
03/19/2021
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