Individual
TANYA ROESIJADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
3001 NE 4TH ST, RENTON, WA 98056-4122
(206) 205-1679
(206) 205-1711
Mailing address
3221 NW MARKET ST, SEATTLE, WA 98107-3322
(206) 527-7204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001910
WA
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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