Individual
MRS. SUSAN L MCREYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D., C.D.E.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1000
(253) 968-6693
Mailing address
11917 132ND AVENUE CT E, PUYALLUP, WA 98374-5087
(253) 840-1864
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000641
WA
Other
Enumeration date
02/06/2006
Last updated
12/09/2019
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