Individual
MELISSA MOUTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
8266 LAKE CITY WAY NE, STE 3C, SEATTLE, WA 98115
(425) 205-9236
(866) 313-2486
Mailing address
9611 NE 140TH CT, BOTHELL, WA 98011-5182
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001933
WA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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