Individual
NAEIMA SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
24060 SE KENT KANGLEY RD, MAPLE VALLEY, WA 98038-6801
(425) 690-3522
(425) 690-9522
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2112868
—
WA
Enumeration date
07/17/2018
Last updated
10/30/2019
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