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Individual

MS. KARIDEE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, RD

Contact information

Practice address
3925 159TH AVE NE, REDMOND, WA 98052-6309
(425) 216-0550
(425) 216-0551
Mailing address
3925 159TH AVE NE, REDMOND, WA 98052-6309
(425) 216-0550
(425) 216-0551

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
363A00000X
Physician Assistant
0110005103
VA
363A00000X
Physician Assistant
Primary
PA 60652684
WA

Other

Enumeration date
11/05/2008
Last updated
04/17/2017
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