Individual
MEGAN ERIN LEILANI CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17506 80TH AVENUE CT E, PUYALLUP, WA 98375-2526
(541) 520-7867
Mailing address
17506 80TH AVENUE CT E, PUYALLUP, WA 98375-2526
(541) 520-7867
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61415553
WA
Other
Enumeration date
03/13/2023
Last updated
04/06/2023
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