Individual
SUSAN THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
14350 SE EASTGATE WAY, BELLEVUE, WA 98007-6458
(206) 205-8974
(206) 205-8969
Mailing address
311 S BELLFLOWER RD, BOTHELL, WA 98012-6235
(425) 672-7007
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
83
AK
133V00000X
Registered Dietitian
Primary
DI00002012
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT0083
—
AK
Enumeration date
08/20/2006
Last updated
09/25/2007
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