Individual
LISA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
3925 159TH AVE NE, REDMOND, WA 98052-6309
(408) 665-3726
Mailing address
7811 NE 156TH ST, KENMORE, WA 98028-4626
(206) 579-0207
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60795450
WA
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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