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Individual

ROMINA P WAISBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
1003092

Contact information

Practice address
250 BELLEVUE WAY NE # S233, BELLEVUE, WA 98004-2327
(404) 704-6674
Mailing address
250 BELLEVUE WAY NE # S233, BELLEVUE, WA 98004-2327
(404) 704-6674

Taxonomy

Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
1003092
WA

Other

Enumeration date
02/18/2015
Last updated
02/18/2015
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