Individual
ROBERTA KANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 S L ST, TACOMA, WA 98405-3720
(253) 792-6630
Mailing address
23425 SE 248TH ST, MAPLE VALLEY, WA 98038-8363
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001491
WA
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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