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Individual

KRISTINE M CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
8301B 5TH AVE NE, SEATTLE, WA 98115-4118
(206) 799-7010
Mailing address
8301B 5TH AVE NE, SEATTLE, WA 98115-4118
(206) 799-7010

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DI60505771
WA
133V00000X
Registered Dietitian
Primary
DI60505771
WA

Other

Enumeration date
12/08/2011
Last updated
06/11/2019
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