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Individual

MARY WHITNEY THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D., C.D.E

Contact information

Practice address
13231 SE 36TH ST STE 110, BELLEVUE, WA 98006-7321
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5000

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
60675601
WA
133V00000X
Registered Dietitian
Primary
60675601
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2069376
WA
Enumeration date
10/22/2016
Last updated
12/01/2022
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