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Individual

MS. JENNIFER LAUREN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, CD

Contact information

Practice address
747 BROADWAY AVE, SEATTLE, WA 98122
(206) 386-2910
Mailing address
8441 20TH AVE SW, SEATTLE, WA 98106-2319

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI0002068
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
973850
COMMISSION ON DIETETIC REGISTRATION, AMERICAN DIETETIC ASSOCIATION
Enumeration date
01/21/2010
Last updated
01/21/2010
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