Individual
EMILY ANNE LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10808 NE 145TH ST, BOTHELL, WA 98011-5200
(206) 296-9813
Mailing address
620 N 34TH ST, APT 608, SEATTLE, WA 98103-8667
(415) 846-7902
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00002061
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
927653
ADA REGISTRATION NUMBER
—
Enumeration date
01/17/2008
Last updated
01/17/2008
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