Jackson, Candy L

Jackson, Candy L is an individual health care provider with primary practice located at 1803 W Maxwell Ave , Spokane WA 99201-2831. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Jackson, Candy L can be contacted via phone (509) 325-5502.

Contact Information

Primary practice address
1803 W Maxwell Ave Spokane WA 99201-2831
Phone: (509) 325-5502
Fax: (509) 325-9839
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI00001765 Washington

Profile Details

NPI number 1912996257
LBN Legal business name Jackson, Candy L
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Aug 10th, 2009 - about 16 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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