Jennifer M Prouse, RD
NPI #1083797146 in Vancouver, Washington
Provider Information
- NPI Number
- 1083797146
- Entity Type
- Individual
- Name
- Jennifer M Prouse, RD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- RD
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 400 NE MOTHER JOSEPH PL
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98664-3200
- Phone
- (360) 514-2559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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