Individual
TERRI L FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.N., C.D.E.
Contact information
Practice address
703 LILLY RD NE, SUITE E, OLYMPIA, WA 98506-5191
(360) 791-3781
Mailing address
PO BOX 2105, OLYMPIA, WA 98507-2105
(360) 791-3781
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000496,
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8276529
—
WA
Enumeration date
02/22/2007
Last updated
11/07/2013
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