Individual
MRS. LAURA ANNA FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.
Contact information
Practice address
3001 NE 4TH ST, RENTON, WA 98056-4122
(206) 205-1674
Mailing address
23723 119TH PL SE, KENT, WA 98031
(253) 631-1318
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001904
WA
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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