Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | CH00003908 | WA |
NPI | 1346403318 |
---|---|
Provider Name | Dr. Elizabeth Louise Hesse |
First Address | Spokane Valley, WA 99037-1270 |
Second Address | Spokane Valley, WA 99037-8837 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 09/07/2008 |