Organization
SOBRAS RESTAURANT GROUP LLC
Active
Other names
Four Elements
Organization subpart
No
Provider details
NPI number
Authorized official
EDA V MARTIN RDN (CEO)
(310) 308-4463
Entity
Organization
Contact information
Practice address
1521 SW 98TH ST UNIT D1, SEATTLE, WA 98106-2865
(206) 915-8255
Mailing address
4228 249TH CT SE, SAMMAMISH, WA 98029-5792
(206) 915-8255
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
12/03/2024
Last updated
02/17/2025
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