Individual
STACEY DEBRA OBERST PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
500 SW 39TH ST, SUITE 150, RENTON, WA 98057-4915
(253) 350-4477
(253) 630-2292
Mailing address
500 SW 39TH ST, SUITE 150, RENTON, WA 98057-4915
(253) 350-4477
(253) 630-2292
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60056601
WA
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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