Provider Demographics
NPI:1942791850
Name:WALSER, MARGARET ELEACIA (RDN, CD)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ELEACIA
Last Name:WALSER
Suffix:
Gender:F
Credentials:RDN, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 S MONROE ST APT 3
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-3019
Mailing Address - Country:US
Mailing Address - Phone:509-844-5193
Mailing Address - Fax:
Practice Address - Street 1:728 S MONROE ST APT 3
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-3019
Practice Address - Country:US
Practice Address - Phone:509-844-5193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-25
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86060126133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered