Individual
BARBARA KERRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.
Contact information
Practice address
311 S L ST, MAILSTOP 311-W3-GI, TACOMA, WA 98405-3720
(253) 403-4581
(253) 403-9179
Mailing address
206 TULALIP ST NE, TACOMA, WA 98422-1645
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DI00000982
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
826-0044
—
WA
Enumeration date
06/06/2007
Last updated
07/09/2007
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