Individual
DOMINIQUE LOPEZ-STICKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
8716 E MILL PLAIN BLVD, VANCOUVER, WA 98664-2531
(360) 514-7932
(360) 514-4233
Mailing address
PO BOX 1600, VANCOUVER, WA 98668-1600
(360) 514-7932
(360) 514-4233
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60219698
WA
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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