Individual
CHARLENE KOUTCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 4TH AVE E, OLYMPIA, WA 98501-6983
(360) 402-0943
Mailing address
521 MILROY ST SW, OLYMPIA, WA 98502-5157
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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