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Individual

BRIDGET ANN NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
5400 CALIFORNIA AVE SW STE C, SEATTLE, WA 98136-1501
(206) 391-5479
Mailing address
5016 CALIFORNIA AVE SW APT 401, SEATTLE, WA 98136-1281
(206) 391-5479

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01067726
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DI 60337149
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
09/08/2011
Last updated
04/11/2013
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