Individual
CRYSTAL CIMIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DI60446487
Contact information
Practice address
8915 14TH AVE S, SEATTLE, WA 98108-4813
(206) 788-3371
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60446487
WA
Other
Enumeration date
03/19/2014
Last updated
01/11/2024
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