Individual
ERIKA MARY CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
3401 S 19TH ST STE 100, TACOMA, WA 98405-1909
(253) 573-1600
(253) 573-1601
Mailing address
3401 S 19TH ST STE 100, TACOMA, WA 98405-1909
(253) 573-1600
(253) 573-1601
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
60296535
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045258
COMMISSION ON DIETETIC REGISTRATION
—
01
—
60296535
WA STATE DEPARTMENT OF HEALTH
WA
Enumeration date
10/08/2018
Last updated
10/08/2018
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