Individual
KERRY POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MADIGAN ARY MEDICAL CTR, 9040 REID STREET, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-2252
(253) 968-3278
Mailing address
MADIGAN ARY MEDICAL CTR, 9040 REID STREET, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-2252
(253) 968-3278
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/07/2012
Last updated
11/20/2013
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