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Individual

SUSAN BENTSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
238 W LAKE SAMMAMISH PKWY NE, BELLEVUE, WA 98008-4221
(425) 785-2236
Mailing address
238 W LAKE SAMMAMISH PKWY NE, BELLEVUE, WA 98008-4221
(425) 785-2236

Taxonomy

Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
RN00103460
WA

Other

Enumeration date
10/01/2016
Last updated
10/01/2016
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