Individual
MS. JEANNE MARIE CULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CD, CDE
Contact information
Practice address
3377 RIVERBEND DR, SPRINGFIELD, OR 97477-8803
(541) 222-2700
(541) 222-6113
Mailing address
3103 SW MYRTLE ST, SEATTLE, WA 98126-3305
(206) 353-2855
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D10187258
OR
133V00000X
Registered Dietitian
DI00001105
WA
Other
Enumeration date
09/19/2007
Last updated
03/17/2018
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