Individual
DEEPA LAKSHMMI BALARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
25742 104TH AVE SE, KENT, WA 98030-7691
(206) 477-6904
Mailing address
25742 104TH AVE SE, KENT, WA 98030-7691
(206) 477-6904
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60578025
WA
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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