Gondeiro-Petrie, Bryanna Lynn

Gondeiro-Petrie, Bryanna Lynn is an individual health care provider with primary practice located at 2772 S Grand Blvd , Spokane WA 99203-2526. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Gondeiro-Petrie, Bryanna Lynn can be contacted via phone (509) 456-0888.

Contact Information

Primary practice address
2772 S Grand Blvd Spokane WA 99203-2526
Phone: (509) 456-0888
Fax: (509) 456-0999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X NU60616065 Washington

Profile Details

NPI number 1780195644
LBN Legal business name Gondeiro-Petrie, Bryanna Lynn
Credentials NU60616065
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2017
Last updated Oct 18th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780195644 NPPES
Washington Other NU60616065 NUTRITIONIST CERTIFICATION

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