Individual
STACY HACKENMUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D.
Contact information
Practice address
620 W 1ST ST, WAPATO, WA 98951-1108
(509) 249-0477
(509) 877-6881
Mailing address
620 W 1ST ST, WAPATO, WA 98951-1108
(509) 249-0477
(509) 877-6881
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60317263
WA
Other
Enumeration date
11/27/2012
Last updated
08/30/2023
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