Individual
TAYLOR WIDENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1700 13TH ST, EVERETT, WA 98201-1689
(425) 404-7049
Mailing address
1700 13TH ST, EVERETT, WA 98201-1689
(425) 404-7049
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
60894106
WA
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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