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Individual
SUSAN C. MCBRIDE
Active
Individual
SUSAN C. MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001791
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0207045
L&I PIN
WA
01
—
12871U
REGENCE BLUE SHIELD
WA
05
—
8450074
—
WA
Enumeration date
05/04/2006
Last updated
08/30/2023
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