Individual
MRS. JODI AUGUSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
125 16TH AVE E, A018, SEATTLE, WA 98112-5211
(206) 326-3451
Mailing address
1500 FAIRVIEW AVE E, STE 205, SEATTLE, WA 98102-3727
(206) 890-6901
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
985208
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI60076272
WA DOH CERTIFICATION NUMBER
WA
Enumeration date
08/06/2009
Last updated
03/10/2014
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