Individual
MS. PATRICIA A. CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D., C.D.E.
Contact information
Practice address
19930 BALLINGER WAY NE, SHORELINE, WA 98155-1223
(425) 778-2220
Mailing address
21911 76TH AVE W, SUITE 106, EDMONDS, WA 98026-7918
(425) 778-2220
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001084
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
699275
RD CERTIFICATION
WA
01
—
DI00001084
STATE LICENSE
WA
Enumeration date
12/13/2006
Last updated
03/14/2017
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