Individual
MRS. HEATHER JO PAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-4184
(206) 987-5087
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-4184
(206) 987-5087
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DI00001163
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8261414
—
WA
Enumeration date
09/14/2006
Last updated
07/13/2007
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