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Individual

MISHA CARTER HENSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, CD

Contact information

Practice address
18323 98TH AVE NE, SUITE 3, BOTHELL, WA 98011-3358
(425) 806-4600
Mailing address
2747 124TH AVE SE, BELLEVUE, WA 98005-4100
(206) 228-8024

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60187898
WA

Other

Enumeration date
10/04/2010
Last updated
10/04/2010
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