Individual
MRS. MICHELLE LYNN SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CD
Contact information
Practice address
1221 HIGHLAND AVENUE, CLARKSTON, WA 99403
(509) 758-5511
(509) 751-9406
Mailing address
PO BOX 189, CLARKSTON, WA 99403
(509) 758-5511
(509) 751-9406
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001554
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8450553
—
WA
Enumeration date
03/15/2007
Last updated
07/08/2007
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