Grace Ruth Heaton, RD | |
411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | |
(509) 633-6373 | |
Not Available |
Full Name | Grace Ruth Heaton |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 411 Fortuyn Rd, Grand Coulee, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1407199714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DI60269986 (Washington) | Primary |
Mailing Address | Practice Location Address |
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Grace Ruth Heaton, RD 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: (509) 633-6373 | Grace Ruth Heaton, RD 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: (509) 633-6373 |
Alejandro Troncoso, RD Dietitian Medicare: Medicare Enrolled Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 | |
Jacie L Van Blaricom, DI Dietitian Medicare: Not Enrolled in Medicare Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 Fax: 509-633-1933 |