Individual
PAUL HOLTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9040 JACKSON AVE NUTRITION CLINIC, TACOMA, WA 98431-0001
(253) 968-4361
Mailing address
NUTRITION CLINIC 9044 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-4361
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86143639
—
133V00000X
Registered Dietitian
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/04/2018
Last updated
07/09/2024
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