Individual
KIMBERLY WATERHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1550
Mailing address
14415 SE 184TH PL, RENTON, WA 98058-9337
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1044458
WA
Other
Enumeration date
07/26/2016
Last updated
08/03/2016
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