Organization
CUSTOM FIT NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY D. SUPPLEE M.S., R.D., C.D. (OWNER)
(206) 295-6810
Entity
Organization
Contact information
Practice address
21230 SE 270TH ST, MAPLE VALLEY, WA 98038-3142
(206) 295-6810
(877) 532-1805
Mailing address
21230 SE 270TH ST, MAPLE VALLEY, WA 98038-3142
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00002000
WA
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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