Organization
RADICALLY EMPOWERED NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN BETH JOHNSON (OWNER)
(231) 329-1441
Entity
Organization
Contact information
Practice address
1827 18TH AVE SE, OLYMPIA, WA 98501-2543
(231) 329-1441
Mailing address
1827 18TH AVE SE, OLYMPIA, WA 98501-2543
(231) 329-1441
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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