Individual
MRS. CHARLENE K. MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CD
Contact information
Practice address
302 S 10TH AVE, YAKIMA, WA 98902-3521
(509) 249-5345
(509) 249-5265
Mailing address
302 S 10TH AVE, YAKIMA, WA 98902-3521
(509) 249-5345
(509) 249-5265
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
984556
WA
133V00000X
Registered Dietitian
Primary
DI60131546
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2057584
—
WA
Enumeration date
07/02/2009
Last updated
12/21/2021
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