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Individual

MRS. MARILYN KAY BRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPH, RD, CD

Contact information

Practice address
17236 NE 144TH ST., REDMOND, WA 98052-1177
(425) 487-6025
Mailing address
17236 NE 144TH ST., REDMOND, WA 98052-1177
(425) 487-6025

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DIOOOOO499
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8285991
WA
Enumeration date
12/11/2006
Last updated
07/08/2007
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