Individual
MS. JOAN BROOKHYSER HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSR, CD, CLT
Contact information
Practice address
706 33RD AVE NW, GIG HARBOR, WA 98335-7884
(253) 307-5381
Mailing address
706 33RD AVE NW, GIG HARBOR, WA 98335-7884
(253) 307-5381
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI 00000644
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11893415
CAQH
WA
Enumeration date
01/05/2009
Last updated
01/05/2009
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