Individual
PAIGE ANN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3432 S BAY RD NE, OLYMPIA, WA 98506-2958
(360) 493-7567
Mailing address
3432 S BAY RD NE, OLYMPIA, WA 98506-2958
(360) 493-7567
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
855528
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
855528
RD REGISTRATION NUMBER
WA
Enumeration date
11/03/2008
Last updated
11/03/2008
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