The Fare Square, Llc | |
373 Martin St, Suite 204, Blaine, WA 98230-4108 | |
(210) 289-5858 | |
Not Available |
Full Name | The Fare Square, Llc |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 373 Martin St, Blaine, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659741726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DI60578253 (Washington) | Primary |
Mailing Address | Practice Location Address |
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The Fare Square, Llc 373 Martin St, Suite 204, Blaine, WA 98230-4108 Ph: (210) 289-5858 | The Fare Square, Llc 373 Martin St, Suite 204, Blaine, WA 98230-4108 Ph: (210) 289-5858 |
Jessica Scott Wright, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9062 Giles Rd, Blaine, WA 98230 Phone: 210-289-5859 | |
Korrinna Marie Kelly, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1665 Bayview Ave, Blaine, WA 98230 Phone: 360-306-1448 |