Individual
SEASON FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 NE 7TH ST, RENTON, WA 98056-3729
(206) 477-0100
Mailing address
3201 NE 7TH ST, RENTON, WA 98056-3729
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60629286
WA
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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