Individual
KAYLA R PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CEP
Contact information
Practice address
17700 SE 272ND ST # 190, COVINGTON, WA 98042-4951
(253) 301-5280
(253) 627-4608
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60852957
WA
Other
Enumeration date
12/16/2018
Last updated
02/21/2024
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