Individual
JAIME JOANN WALICZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
4241 11TH AVE NE STE B, SEATTLE, WA 98105-4674
(425) 445-0921
(206) 774-6045
Mailing address
4241 11TH AVE NE STE B, SEATTLE, WA 98105-4674
(425) 445-0921
(206) 774-6045
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60149382
WA
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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