Individual
NICOLE TREANOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
1624 S I ST, SUITE 206, TACOMA, WA 98405-5016
(253) 426-4352
Mailing address
1624 S I ST, SUITE 206, TACOMA, WA 98405-5016
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60603326
WA
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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