Individual
MRS. MOLLY A SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2124 4TH AVE, SEATTLE, WA 98121-2308
(206) 296-4981
(206) 296-0184
Mailing address
11338 34TH AVE NE, SEATTLE, WA 98125-6808
(206) 367-9167
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DI00000532
—
WA
Enumeration date
06/11/2007
Last updated
07/09/2007
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