Individual
JUDITH LYNNE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH RD CD CDCES
Contact information
Practice address
1114 ELLIS ST, BELLINGHAM, WA 98225-5204
(360) 510-5075
Mailing address
20 UNIVERSITY RD STE 5, CAMBRIDGE, MA 02138-5815
(617) 420-5858
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
727126
WA
133V00000X
Registered Dietitian
DI00001288
WA
Other
Enumeration date
12/12/2006
Last updated
08/26/2024
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