Individual
CHERYL KROES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
808 N 39TH AVE, YAKIMA, WA 98902-6388
(509) 574-3408
Mailing address
808 N 39TH AVE, YAKIMA, WA 98902-6388
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
722979
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
722979
CDR - RD#
WA
05
—
8496085
—
WA
01
—
DI00001915
WA DEPT OF HEALTH - CD#
WA
Enumeration date
03/05/2008
Last updated
03/05/2008
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