Individual
THERESA GWINNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
(206) 326-2785
Mailing address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
(206) 326-2785
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1025777
CA
133V00000X
Registered Dietitian
Primary
DI61144737
WA
Other
Enumeration date
01/22/2015
Last updated
04/16/2021
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