Individual
MS. MARY ELIZABETH POLHAMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
24060 SE KENT KANGLEY RD STE D100, MAPLE VALLEY, WA 98038-6851
(425) 690-3522
(425) 690-9522
Mailing address
PO BOX 34876, SEATTLE, WA 98124-1876
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
DI60752527
WA
133V00000X
Registered Dietitian
DI60752527
WA
Other
Enumeration date
08/15/2017
Last updated
10/02/2024
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