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Individual

MATTHEW KEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
15308 136TH AVE E, PUYALLUP, WA 98374-9241
(253) 227-8284
Mailing address
407 N 62ND ST, APT 1, SEATTLE, WA 98103-5542
(717) 341-4022

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1000268
WA

Other

Enumeration date
12/23/2013
Last updated
12/23/2013
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