| 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 |
|---|---|
| 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 |