Individual
ALI NICOLE COSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1408 3RD ST SE STE 200, PUYALLUP, WA 98372-3702
(253) 268-3345
(253) 881-1490
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
(844) 620-1839
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61085122
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI61085122
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
07/28/2020
Last updated
02/15/2023
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