Individual
MICHELLE BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CN
Contact information
Practice address
2116 CATON WAY SW STE 102, OLYMPIA, WA 98502-1176
(360) 915-2151
Mailing address
5501 17TH AVE NE, OLYMPIA, WA 98516-3806
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU61327590
WA
133N00000X
Nutritionist
—
WA
133NN1002X
Nutrition Education Nutritionist
NU61327590
WA
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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