Organization
RADIANT WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA PEREZ (OWNER, DIETITIAN)
(541) 993-0107
Entity
Organization
Contact information
Practice address
825 21ST AVE, SEATTLE, WA 98122-4756
(425) 610-7238
Mailing address
825 21ST AVE, SEATTLE, WA 98122-4756
(425) 610-7238
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235786203
NPI TYPE 1
—
Enumeration date
04/29/2022
Last updated
04/29/2022
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