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Individual

MS. ERWINA BIRDIE PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED.,CFCS

Contact information

Practice address
2310 W YAKIMA AVE, YAKIMA, WA 98902-2873
(509) 248-6386
(509) 248-6386
Mailing address
2310 W YAKIMA AVE, YAKIMA, WA 98902-2873
(509) 248-6386
(509) 248-6386

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
126042
DC

Other

Enumeration date
03/08/2007
Last updated
07/08/2007
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