Individual
TARA ELIZABETH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
117 NE 51ST ST, SEATTLE, WA 98105-3701
(410) 948-9293
Mailing address
117 NE 51ST ST, SEATTLE, WA 98105-3701
(410) 948-9293
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX5273
MD
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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