Individual
TRACEY DIANE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CN
Contact information
Practice address
24846 NE 1ST PL, SAMMAMISH, WA 98074-3429
(206) 940-8134
Mailing address
24846 NE 1ST PL, SAMMAMISH, WA 98074-3429
(206) 940-8134
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
60891688
WA
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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