Individual
VERONICA COROMOTO CARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12410 NE 24TH ST, BELLEVUE, WA 98005-1530
(206) 883-8319
Mailing address
7458 NW 99TH CT, DORAL, FL 33178-3429
(206) 883-8310
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1043838
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPI: 1205214889
EVERGREEN HEALTH
WA
Enumeration date
08/07/2016
Last updated
05/02/2023
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