Individual
THERESA ANNE DEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIETICIAN, CHC
Contact information
Practice address
14116 50TH AVE E, TACOMA, WA 98446-4163
(253) 318-8110
(253) 531-1159
Mailing address
14116 50TH AVE E, TACOMA, WA 98446-4163
(253) 318-8110
(253) 531-1159
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
603291211
WA
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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