Organization
TOTAL RENAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY LAN CHU (DIETITIAN)
(408) 409-5248
Entity
Organization
Contact information
Practice address
1250 STATE AVE, MARYSVILLE, WA 98270-3659
(360) 651-0780
(360) 651-0680
Mailing address
5206 1/2 BALLARD AVE NW, #6, SEATTLE, WA 98107-4865
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
DI60517750
WA
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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