Individual
SYBIL HIGGINS GAUTREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., M.A.
Contact information
Practice address
3001 NE 4TH ST, RENTON, WA 98056-4122
(206) 296-4700
(206) 296-0568
Mailing address
7729 120TH PL SE, NEWCASTLE, WA 98056-9190
(425) 226-9823
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI0000223
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
328666
NATIONAL REGIATRATION #
—
05
—
832588
—
WA
01
—
DI00000223
WA. LICENSE NUMBER
WA
Enumeration date
01/02/2007
Last updated
07/09/2007
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