Individual
MS. ERICA MOUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
514 19TH AVE E APT 304, SEATTLE, WA 98112-4083
(520) 820-9495
Mailing address
514 19TH AVE E APT 304, SEATTLE, WA 98112-4083
(520) 820-9495
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DI100000612
DC
133V00000X
Registered Dietitian
Primary
DI60660968
WA
Other
Enumeration date
02/24/2015
Last updated
01/22/2019
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