IndividualActive
Flower Star
NPI 1124646260 · Registered Dietitian · Othello, WA
Provider details
- NPI number
- 1124646260
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- DI61081752 (WA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1515 E Columbia St
Othello, WA 99344-1846
Phone: (509) 488-5256
Approximate (ZIP-level) locationGet directions
Mailing address
1515 E Columbia St
Othello, WA 99344-1846
Registry dates
- Enumerated
- 2020-07-06
- Last updated
- 2020-07-06
- Certified
- 2020-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.