Individual
MRS. ALICA BREANN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NTP. MS
Contact information
Practice address
11515 BURNHAM DR NW, GIG HARBOR, WA 98332-8543
(253) 858-5152
Mailing address
11515 BURNHAM DR NW, GIG HARBOR, WA 98332-8543
(253) 858-5152
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU60978366
WA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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