Individual
ANDREA ASSOUAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CN
Contact information
Practice address
4126 185TH PL SE, ISSAQUAH, WA 98027-9765
(206) 898-3042
Mailing address
4126 185TH PL SE, ISSAQUAH, WA 98027-9765
(206) 898-3042
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU61399065
WA
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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