Individual
PUI LAM ADRIANA HO
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
(252) 268-3345
(253) 881-1490
Mailing address
1408 3RD ST SE STE 200, PUYALLUP, WA 98372-3702
(252) 268-3345
(253) 881-1490
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60599868
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86058872
RD CERTIFICATION
WA
01
—
DI60599868
STATE LICENSE
WA
Enumeration date
11/20/2015
Last updated
08/20/2018
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