Individual
MS. PATRICIA NOLAN SUSKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E.
Contact information
Practice address
90 SE KLAH-CHE-MIN DR., SHELTON, WA 98584
(360) 432-3929
(360) 427-1951
Mailing address
6120 54TH AVE NW, OLYMPIA, WA 98502
(360) 432-3929
(360) 427-1951
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
491097
WA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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