# TOTAL RENAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851780431
- **Authorized official:** JENNY LAN CHU (DIETITIAN)
- **Authorized official phone:** (408) 409-5248

## Contact information

- **Practice address:** 1250 STATE AVE, MARYSVILLE, WA 98270-3659
- **Practice address phone:** (360) 651-0780
- **Practice address fax:** (360) 651-0680
- **Mailing address:** 5206 1/2 BALLARD AVE NW, \#6, SEATTLE, WA 98107-4865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | DI60517750 | WA | Yes |

## Other

- **Enumeration date:** 01/20/2015
- **Last updated:** 01/20/2015