Individual
LYDIA FREDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
14508 NE 20TH AVE STE 102, VANCOUVER, WA 98686-6434
(360) 852-9070
Mailing address
14508 NE 20TH AVE STE 102, VANCOUVER, WA 98686-6434
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86036366
UT
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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