Individual
BETHANY LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DTR, RDN
Contact information
Practice address
939 CAROLINE ST, PORT ANGELES, WA 98362-3909
(360) 565-9317
(360) 417-7188
Mailing address
939 CAROLINE ST, PORT ANGELES, WA 98362-3909
(360) 565-9317
(360) 417-7188
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60444646
WA
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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