Individual
KRISTEN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 477-5105
Mailing address
9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2591
WI
Other
Enumeration date
10/10/2014
Last updated
06/18/2019
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