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Dietary & Nutritional Service Providers Nutritionist Nutrition, Education

Provider NPI: 1114195781

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 206-292-2771  Fax: 206-292-3014

Business Mailing Address:
Tel: 206-292-2277  Fax: 206-292-3014

NPI Information:
NPI: 1114195781
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
N133NN1002XDietary & Nutritional Service Providers
Nutrition, Education
Y136A00000XDietary & Nutritional Service Providers
Dietetic Technician, Registered

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 136A00000X





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