Individual
MRS. MICHEL LEIGH BERNOTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
22842 NE 42ND ST, REDMOND, WA 98053-8322
(651) 785-5289
Mailing address
22842 NE 42ND ST, REDMOND, WA 98053-8322
(651) 785-5289
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
Other
Enumeration date
09/11/2009
Last updated
06/18/2020
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