Individual
MS. MARY E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3315 S 23RD ST STE 210, TACOMA, WA 98405-1616
(425) 820-0869
(425) 820-1745
Mailing address
11135 59TH AVE S, SEATTLE, WA 98178-2825
(425) 293-1126
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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