Individual
NICKOLAS ROBERT MONTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-4504
(830) 515-9635
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86107250
TX
Other
Enumeration date
03/23/2022
Last updated
06/12/2025
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