Individual
GENEVIEVE BIANCA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
12901 20TH AVE S, SEATAC, WA 98168-5159
(206) 901-8758
Mailing address
12901 20TH AVE S, SEATAC, WA 98168-5159
(206) 901-8758
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60224436
WA
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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