Individual
BERNITA R LACROIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R. D.
Contact information
Practice address
4820 SHE NAH NUM DR SE, OLYMPIA, WA 98513-9105
(360) 459-5312
Mailing address
3314 SERENITY LN SW, TUMWATER, WA 98512-1102
(360) 493-1884
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI 00000907
WA
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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