MR. Debra Sue Sandvig, RD,CD, IBCLC
NPI #1316104896 in Ellensburg, Washington
Provider Information
- NPI Number
- 1316104896
- Entity Type
- Individual
- Name
- MR. Debra Sue Sandvig, RD,CD, IBCLC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- RD,CD, IBCLC
- Enumeration Date
- May 21, 2008
- Last Updated
- May 21, 2008
Practice Location
- Address
- 507 N NANUM ST
- Address 2
- SUITE 102
- City
- Ellensburg
- State
- Washington
- ZIP Code
- 98926-2886
- Phone
- (509) 962-7515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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