Individual
MRS. AMANDA FRANCES ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
915 118TH AVE SE, ATTENTION ALECIA JOHNSON, RET PHYSICA, SUITE 110, BELLEVUE, WA 98005
(425) 243-6922
(425) 452-0704
Mailing address
915 118TH AVE SE, ATTENTION ALECIA JOHNSON, RET PHYSICA, SUITE 110, BELLEVUE, WA 98005
(425) 243-6922
(425) 452-0704
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
09/27/2018
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