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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACIE L VAN BLARICOM, DI

Active

JACIE L VAN BLARICOM, DI is a Registered Dietitian healthcare provider located in GRAND COULEE, Washington. NPI 1780080515 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · GRAND COULEE, WA

Registration Details

NPI Number
1780080515
Provider Type
Individual
Gender
Female
NPI Issued
Nov 5, 2014 (11.749456470381 yrs)
Last Updated
Mar 13, 2018
License
DI60513122 (WA)

Practice Information

Address
411 FORTUYN RD
GRAND COULEE, WA, 991338718
Browse WA providers · Browse ZIP 99133
Phone
5096331753
Fax
5096331933
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in GRAND COULEE, WA

Name Credential NPI
GRACE RUTH HEATON RD 1407199714
ALEJANDRO TRONCOSO RD 1306500988
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.