Individual
MICHELLE M HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99201-2307
(509) 474-3131
Mailing address
101 W 8TH AVE, SPOKANE, WA 99201-2307
(509) 474-3131
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000741
WA
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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