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Individual

MRS. KARELISA ELAINE KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, CD

Contact information

Practice address
2000 HOSPITAL DR, SEDRO WOOLLEY, WA 98284-4327
(360) 738-2200
Mailing address
2007 SAMISH CREST WAY, BELLINGHAM, WA 98229-4909
(760) 791-6032

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60196712
WA

Other

Enumeration date
09/20/2022
Last updated
09/20/2022
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