Individual
SHELLEY M MALCOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CN
Contact information
Practice address
3261 67TH AVE SE, MERCER ISLAND, WA 98040-3307
(206) 660-8088
Mailing address
3261 67TH AVE SE, MERCER ISLAND, WA 98040-3307
(206) 660-8088
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
61224136
WA
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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