Individual
DAWN JAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
3670 STONE WAY N, N271, SEATTLE, WA 98103-8004
(206) 834-4183
(206) 834-4106
Mailing address
5219 156TH AVE NE, REDMOND, WA 98052-5139
(425) 586-0051
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI 60689692
WA
133VN1006X
Metabolic Nutrition Registered Dietitian
DI60689692
WA
Other
Enumeration date
08/30/2016
Last updated
01/10/2017
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