Individual
MRS. JULIE A SHEVLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2125 VERNON RD, LAKE STEVENS, WA 98258-8515
(206) 790-0010
Mailing address
2125 VERNON RD, LAKE STEVENS, WA 98258-8515
(206) 790-0010
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DI00001350
WA
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DI00001350
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8345928
—
WA
Enumeration date
10/15/2007
Last updated
06/16/2018
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