Individual
NICKY MISHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
3315 S 23RD ST STE 210, TACOMA, WA 98405-1616
(253) 572-8684
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60927175
WA
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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