Individual
AMY MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CSP, CNSC
Contact information
Practice address
4800 SAND POINT WAY NE, M/S OA 5.210, SEATTLE, WA 98105-3901
(206) 987-4758
Mailing address
4800 SAND POINT WAY NE, M/S OA 5.210, SEATTLE, WA 98105-3901
(206) 987-4758
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DI 60597926
WA
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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