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Individual
SHIRLEY MATENDA
Active
Individual
SHIRLEY MATENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
DI60727023
WA
133V00000X
Registered Dietitian
Primary
DI60727023
WA
133VN1006X
Metabolic Nutrition Registered Dietitian
DI60727023
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2079868
—
WA
Enumeration date
04/26/2017
Last updated
08/19/2025
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