Individual
KATIE DWAILEEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 SE PARK PLAZA DRIVE, 105, VANCOUVER, WA 98684
(619) 787-7557
Mailing address
205 SE PARK PLAZA DRIVE, 105, VANCOUVER, WA 98684
(619) 787-7557
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU60728766
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/30/2013
Last updated
03/17/2018
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