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Organization

A LITTLE FOOD AND NUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JACQUI LITTLE RDN (REGISTERED DIETITIAN)
(360) 763-6518
Entity
Organization

Contact information

Practice address
1950 BLACK LAKE BLVD SW, OLYMPIA, WA 98512-5651
(360) 464-4434
Mailing address
5412 13TH AVE SW, OLYMPIA, WA 98512-9451
(360) 763-6518

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
05/07/2024
Last updated
05/13/2024
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