Individual
MS. SUSAN LYNN GINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.
Contact information
Practice address
2915 E. MADISON STREET, #208, SEATTLE, WA 98112
(206) 795-8892
(425) 483-6334
Mailing address
6830 NE BOTHELL WAY, C392, KENMORE, WA 98028
(206) 794-8892
(425) 483-6334
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU00001017
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
601856576
BUSINESS LICENSE
WA
01
—
NU00001017
STATE LICENCE
WA
Enumeration date
11/08/2006
Last updated
09/24/2014
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