Individual
DR. LISA CHARISSIMA DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., R.D.N.
Contact information
Practice address
3903 LIESEKE LN SW, PORT ORCHARD, WA 98367-9300
(703) 895-0061
Mailing address
3903 LIESEKE LN SW, PORT ORCHARD, WA 98367-9300
(703) 895-0061
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI-61400947
WA
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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