Individual
MARCELLE A. THURSTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
325 9TH AVE, BOX 359735, SEATTLE, WA 98104-2420
(206) 341-4612
(206) 341-4614
Mailing address
325 9TH AVE, BOX 359735, SEATTLE, WA 98104-2420
(206) 341-4612
(206) 341-4614
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001519
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0188573
L&I PIN
WA
01
—
3759TH
REGENCE BLUE SHIELD PIN
WA
05
—
8399180
—
WA
Enumeration date
05/04/2006
Last updated
07/09/2007
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