Individual
MRS. JACQUELINE TINA MESSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.. C.D., M.S.
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-1290
(206) 987-5087
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-1290
(206) 987-5087
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DI00001581
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8261414
—
WA
Enumeration date
09/28/2006
Last updated
07/24/2007
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