Individual
MS. MARY IRENE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
125 16TH AVE E, CSB A013, SEATTLE, WA 98112-5211
(206) 326-3356
(206) 326-2512
Mailing address
125 16TH AVE E, CSB A013, SEATTLE, WA 98112-5211
(206) 326-3356
(206) 326-2512
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000294
WA
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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