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Individual

CHERYL HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
34617 11TH PL S, SUITE 300, FEDERAL WAY, WA 98003-8706
(253) 336-4142
Mailing address
34617 11TH PL S, SUITE 300, FEDERAL WAY, WA 98003-8706

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60423936
WA

Other

Enumeration date
02/25/2016
Last updated
02/25/2016
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