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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active Sole Proprietor

Nutrition, Education · RIDGEFIELD, WA

Registration Details

NPI Number
1437976024
Provider Type
Individual
Gender
Female
NPI Issued
Sep 24, 2024 (1.6137833609909 yrs)
Last Updated
Sep 24, 2024
License
NU61208108 (WA)
Sole Proprietor
Yes

Practice Information

Address
630 N KEMPER LOOP
RIDGEFIELD, WA, 986427513
Browse WA providers · Browse ZIP 98642
Phone
5036803117
Primary Specialty
Nutrition, Education
133NN1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.