Individual
NICOLE PERIGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8801 14TH AVE S, SEATTLE, WA 98108-4809
(206) 764-0502
(206) 764-0516
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0502
(206) 764-0516
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1049396
WA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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