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Individual

MARTA MAZZANTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, CD

Contact information

Practice address
4800 SAND POINT WAY NE, M/S W3731, SEATTLE, WA 98105-3901
(206) 987-2000
(206) 987-5658
Mailing address
4800 SAND POINT WAY NE, M/S W3731, SEATTLE, WA 98105-3901
(206) 987-2000
(206) 987-5658

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DI60045204
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
993768
CDR AMERICAN DIETETIC ASSOCIATION
01
DI60045204
WASHINGTON STATE DEPRTMENT OF HEALTH
WA
Enumeration date
10/02/2008
Last updated
10/02/2008
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