Individual
VICTORIA M EVERRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD CNSC CDE
Contact information
Practice address
939 CAROLINE ST, PORT ANGELES, WA 98362-3909
(360) 417-7125
(360) 417-7188
Mailing address
122 ISLAND VIEW RD, PORT ANGELES, WA 98362-8436
(360) 417-7125
(360) 417-7188
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
02026
WA
Other
Enumeration date
08/10/2007
Last updated
06/03/2011
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