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ROSE MARY BROWN BS MS RD

Dietary & Nutritional Service Providers Dietary Manager

Provider NPI: 1295902609

Provider Information:
 ROSE MARY BROWN BS MS RD
Gender: F
Sole Proprietor

Practice Location:
916 PACIFIC AVENUE  EVERETT, WA 98201 US
Tel: 425-303-6500  Fax: 425-303-6550

Business Mailing Address:
909 N BROADWAY PBO EVERETT, WA 98201-1409 US
Tel: 425-317-0264  Fax: 425-317-0291

NPI Information:
NPI: 1295902609
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N132700000XDietary & Nutritional Service Providers
Dietary Manager
WADI00001834
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
WADI00001834
N133VN1004XDietary & Nutritional Service Providers
Dietitian, Registered
WADI00001834
N133VN1005XDietary & Nutritional Service Providers
Dietitian, Registered
WADI00001834
N133VN1006XDietary & Nutritional Service Providers
Dietitian, Registered
WADI00001834
N136A00000XDietary & Nutritional Service Providers
Dietetic Technician, Registered
WADI00001834

Other Provider Identifiers:

IssuerNumberStateType
WA ST PROFESSIONAL LICENSEDI00001834WA01



American Medical Association 2012 taxonomy code information

Code: 133V00000X

Type:

Classification:



Definition:



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