Individual
MICHELLE ELLISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6729
Mailing address
1401 E MADISON ST APT 106, SEATTLE, WA 98122-4027
(919) 710-3763
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60995380
WA
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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