Individual
LAURA BLASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8720 14TH AVE S, SEATTLE, WA 98108-4807
(206) 762-3730
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61238925
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2216473
—
WA
Enumeration date
01/11/2022
Last updated
11/24/2023
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