Individual
TAYNUA PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 N KEMPER LOOP, RIDGEFIELD, WA 98642-7513
(503) 680-3117
Mailing address
630 N KEMPER LOOP, RIDGEFIELD, WA 98642-7513
(503) 680-3117
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
NU61208108
WA
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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