Individual
CAROL JEAN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
500 SW 39TH ST, SUITE 150, RENTON, WA 98057-4915
(425) 264-2584
Mailing address
15515 JUANITA WOODINVILLE WAY NE, APT C204, BOTHELL, WA 98011-1576
(818) 445-7852
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI 60209104
WA
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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