Jacie L Van Blaricom, DI
Jacie L Van Blaricom, DI is a Registered Dietitian in Grand Coulee, Washington. Licensed in Washington. Registered with an NPI since 2014.
- Licensed in
- WA
- In the registry since
- 2014
Practice location Address checks out
411 Fortuyn RdGrand Coulee, WA 99133-8718
Phone: (509) 633-1753
Fax: (509) 633-1933
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Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence DI60513122 (WA) |
|---|
Record details
| NPI number | 1780080515 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DI |
| Sole proprietor | No |
| NPI enumerated | November 5, 2014 |
| Last updated in NPPES | March 13, 2018 |
Other providers in Grand Coulee
-
Grace Ruth Heaton, RD
411 Fortuyn Rd, Grand Coulee, WA 99133-8718 · (509) 633-6373
-
Alejandro Troncoso, RD
411 Fortuyn Rd, Grand Coulee, WA 99133-8718 · (509) 633-1753