Individual
KIMBERLY BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6107 230TH AVE NE, REDMOND, WA 98053-8154
(425) 802-7720
Mailing address
6107 230TH AVE NE, REDMOND, WA 98053-8154
(425) 802-7720
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI 60538254
WA
Other
Enumeration date
02/22/2015
Last updated
02/22/2015
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