Organization
PROACTIVE NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL HEDBERG (ADMIN ASSISTANT)
(425) 814-8443
Entity
Organization
Contact information
Practice address
13008 NE 125TH WAY, KIRKLAND, WA 98034-7726
(425) 814-8443
Mailing address
13008 NE 125TH WAY, KIRKLAND, WA 98034-7726
(425) 814-8443
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001006
WA
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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