Individual
MISS SUSANA DE LA FUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
3020 RUCKER AVE, EVERETT, WA 98201-3900
(425) 339-5200
Mailing address
20347 NE 61ST CT, REDMOND, WA 98053-7824
(832) 339-5482
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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