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Individual

BEVERLY DIANNE KINDBLADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, CD

Contact information

Practice address
1904 3RD AVE, SUITE 935, SEATTLE, WA 98101-1191
(206) 920-7676
(206) 724-0574
Mailing address
1904 3RD AVE, SUITE 935, SEATTLE, WA 98101-1191
(206) 920-7676
(206) 724-0574

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
717636
IL
133V00000X
Registered Dietitian
Primary
DI00000649
WA

Other

Enumeration date
02/17/2007
Last updated
07/09/2014
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