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Individual

MARTA DE WULF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NUTRITIONIST, BS

Contact information

Practice address
12342 NE 26TH PL, BELLEVUE, WA 98005
(425) 761-4774
Mailing address
1800 112TH AVE NE, SUITE 220W, BELLEVUE, WA 98004
(425) 761-4774

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
12/17/2010
Last updated
12/17/2010
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