Individual
BROOKE ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11636 SE 5TH ST STE 100, BELLEVUE, WA 98005-3527
(425) 395-4638
Mailing address
1420 NW GILMAN BLVD # 2237, ISSAQUAH, WA 98027-5394
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
603550453
WA
Other
Enumeration date
12/28/2015
Last updated
03/23/2018
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