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Individual
MR. NICHOLAS ALBERT BERRETTA
Active
Individual
MR. NICHOLAS ALBERT BERRETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN, CD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
60863913
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033254115
—
WA
05
—
1669938536
—
WA
05
—
1891802146
—
WA
Enumeration date
05/23/2019
Last updated
06/11/2019
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