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Organization
FULL LIFE NUTRITION
Active
Organization
FULL LIFE NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET ANN NICHOLS RD (OWNER)
(206) 391-5479
Entity
Organization
Contact information
Practice address
5400 CALIFORNIA AVE SW, SUITE C, SEATTLE, WA 98136-1501
(206) 391-5479
(206) 641-9702
Mailing address
5400 CALIFORNIA AVE SW, SUITE C, SEATTLE, WA 98136-1501
(206) 391-5479
(206) 641-9702
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01067726
WA
Other
Enumeration date
07/16/2012
Last updated
04/11/2013
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