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MADISON SERVICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CD

Contact information

Practice address
3707 CORLISS AVE N, SEATTLE, WA 98103-9116
(913) 909-1757
Mailing address
3707 CORLISS AVE N, SEATTLE, WA 98103-9116
(913) 909-1757

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86150924

Other

Enumeration date
12/06/2019
Last updated
12/06/2019
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