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Individual
ROSE MARY BROWN
Active
Individual
ROSE MARY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS MS RD
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
DI00001834
WA
133V00000X
Registered Dietitian
Primary
DI00001834
WA
133VN1004X
Pediatric Nutrition Registered Dietitian
DI00001834
WA
133VN1005X
Renal Nutrition Registered Dietitian
DI00001834
WA
133VN1006X
Metabolic Nutrition Registered Dietitian
DI00001834
WA
136A00000X
Registered Dietetic Technician
DI00001834
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI00001834
WA ST PROFESSIONAL LICENSE
WA
Enumeration date
05/14/2008
Last updated
01/30/2009
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