Individual
ROBERT SUMMERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, CD
Contact information
Practice address
2260 CARILLON PT, KIRKLAND, WA 98033-7446
(323) 251-0603
Mailing address
3603 213TH PL SE, BOTHELL, WA 98021-7063
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
603549244
WA
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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