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MRS. ELIZABETH CAMPBELL RDN, LD

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1306363478

Individual Registrant:
MRS. ELIZABETH  CAMPBELL RDN, LD
Gender: F
Sole Proprietor

Location and contact information for practice:
611 S. MAIN  MOSCOW, ID 83843 US
Tel: 208-883-8262  Fax: --

Contact information for business:
2310 NW RIDGELINE DR.  PULLMAN, WA 99163 US
Tel: 208-987-0272  Fax: --

Registration Information:
NPI: 1306363478
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
IDD-973

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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