Organization
BRAVESPACE NUTRITION LLC
Active
Other names
Bravespace Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE METZELAAR RDN (OWNER)
(302) 588-2731
Entity
Organization
Contact information
Practice address
205 19TH AVE E APT 206, SEATTLE, WA 98112-5355
(302) 588-2731
Mailing address
205 19TH AVE E APT 206, SEATTLE, WA 98112-5355
(302) 588-2731
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
604228023
WA
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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