Individual
MARY B. LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10808 NE 145TH ST, BOTHELL, WA 98011-5200
(206) 296-9813
Mailing address
9625 24TH AVE NW, SEATTLE, WA 98117-2504
(206) 706-0456
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8270092
—
WA
01
—
887767
CDR LICENSE
WA
Enumeration date
12/01/2006
Last updated
07/08/2007
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