Organization
INNOVATIVE NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN HIRANO M.S., R.D., C.N. (REGISTERED DIETITIAN)
(206) 719-7060
Entity
Organization
Contact information
Practice address
3835 WALLINGFORD AVE N, SEATTLE, WA 98103-8245
(206) 719-7060
(206) 632-6632
Mailing address
3835 WALLINGFORD AVE N, SEATTLE, WA 98103-8245
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
819383
WA
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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