Individual
MR. DANIEL JOHN KLOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
33431 13TH PL S, FEDERAL WAY, WA 98003-6357
(206) 205-6993
Mailing address
33431 13TH PL S, FEDERAL WAY, WA 98003-6357
(206) 205-6993
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001759
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8447724
—
WA
Enumeration date
11/08/2006
Last updated
07/08/2007
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