Organization
BROWN SUGAR NUTRITION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMASHI FERNANDO MS, RD (REGISTERED DIETITIAN)
(406) 580-4930
Entity
Organization
Contact information
Practice address
13725 32ND AVE NE APT B224, SEATTLE, WA 98125-3694
(406) 580-4930
Mailing address
13725 32ND AVE NE APT B224, SEATTLE, WA 98125-3694
(406) 580-4930
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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