Individual
NICOLE OPSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
203 W 8TH AVE, KENNEWICK, WA 99336-5630
(509) 378-7792
(509) 586-5140
Mailing address
203 W 8TH AVE, PO BOX 6128, KENNEWICK, WA 99336-5630
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1104941
WA
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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