Individual
MS. NICOLE LORELEE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
20 AUBURN AVE, AUBURN, WA 98002-5404
(206) 250-6855
(206) 296-8403
Mailing address
4134 36TH AVE SW, SEATTLE, WA 98126-2620
(425) 445-5991
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001700
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8435695
—
WA
Enumeration date
11/21/2006
Last updated
07/08/2007
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