Individual
MRS. STEPHANIE K TARRY YOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
21600 HIGHWAY 99 STE 150, EDMONDS, WA 98026-8047
(425) 640-4395
(425) 640-4854
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60493499
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041456
—
WA
Enumeration date
02/05/2010
Last updated
12/14/2023
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