Individual
MISS KRYSTAL LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4151
Mailing address
209 BRIDGE WAY, EVERETT, WA 98201-1131
(360) 809-0161
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
790097
WA
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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