Individual
MARISSA SAHARA CLAIBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CSR
Contact information
Practice address
5825 TACOMA MALL BLVD, TACOMA, WA 98409-6906
(253) 671-3172
Mailing address
5825 TACOMA MALL BLVD, TACOMA, WA 98409-6906
(253) 671-3172
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
00001914
WA
133V00000X
Registered Dietitian
Primary
940490
WA
Other
Enumeration date
12/08/2006
Last updated
01/24/2014
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