Individual
KRISHNA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 102ND AVE SE APT 405, BELLEVUE, WA 98004-8144
(619) 254-1628
Mailing address
136 102ND AVE SE APT 405, BELLEVUE, WA 98004-8144
(619) 254-1628
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
86145677
WA
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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