Individual
MRS. EVANGELIA NICOLE FACCHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CD
Contact information
Practice address
5811 187TH AVE SE, ISSAQUAH, WA 98027-8620
(732) 986-2633
Mailing address
5811 187TH AVE SE, ISSAQUAH, WA 98027-8620
(732) 986-2633
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60888449
WA
Other
Enumeration date
04/29/2019
Last updated
11/20/2020
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