Organization
NEW LEAF NUTRITION COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA FREDEEN RD, CD, CEDRD (OWNER)
(509) 391-5888
Entity
Organization
Contact information
Practice address
9412 1ST AVE NE UNIT 2, SEATTLE, WA 98115-2707
(509) 391-5888
Mailing address
1752 NW MARKET ST # 4438, SEATTLE, WA 98107-5264
(509) 391-5888
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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