Individual
LISA EBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 6TH AVE, N1103, SEATTLE, WA 98121-2933
(202) 430-6126
Mailing address
2121 6TH AVE, N1103, SEATTLE, WA 98121-2933
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86046825
WA
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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