Provider Demographics
NPI:1679265342
Name:SCHLOSSER, JOANNA MARIE (RD)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:MARIE
Last Name:SCHLOSSER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14820 E 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-2165
Mailing Address - Country:US
Mailing Address - Phone:509-922-1644
Mailing Address - Fax:
Practice Address - Street 1:14820 E 4TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-2165
Practice Address - Country:US
Practice Address - Phone:509-922-1644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered