Individual
KELLIE FARIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-2202
Mailing address
7410 30TH AVE NW, SEATTLE, WA 98117-4622
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86002331
CA
Other
Enumeration date
12/23/2016
Last updated
08/06/2021
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