Individual
SOPHIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9920 SW BANK RD STE 6, VASHON, WA 98070-4983
(360) 990-6072
Mailing address
PO BOX 2474, VASHON, WA 98070-2474
(360) 990-6072
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61505061
WA
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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