Individual
MAGDA NICOLE SIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(425) 861-6255
(425) 861-6245
Mailing address
1241 121ST AVE NE APT A101, BELLEVUE, WA 98005-5025
(914) 282-8031
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86150059
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI61228154
DEPARTMENT OF HEALTH
WA
Enumeration date
11/02/2021
Last updated
11/02/2021
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