Individual
GREGORY WISONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
12901 20TH AVE S, SEATAC, WA 98168-5159
(206) 720-3987
(206) 292-2163
Mailing address
16910 NE 131ST PL, REDMOND, WA 98052-2189
(360) 969-3698
(206) 292-2163
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
60974846
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60974846
CD
WA
Enumeration date
06/20/2023
Last updated
06/21/2023
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