Individual
MRS. SUSAN JANE YAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CD CDE CLC
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4426
(360) 475-4344
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4426
(360) 475-4344
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
00000055
WA
133V00000X
Registered Dietitian
Primary
427023
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8388340
—
WA
Enumeration date
01/23/2006
Last updated
07/09/2007
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