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Individual
MRS. MICHAELA D RUSH
Active
Individual
MRS. MICHAELA D RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DI00001987
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
850756
REGISTERED DIETITIAN
—
01
—
DI00001987
DIETITIAN CERTIFICATION
WA
Enumeration date
07/07/2008
Last updated
07/07/2008
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