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Individual

CHRISTINA SEIBOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CN

Contact information

Practice address
2906 NE 145TH AVE, VANCOUVER, WA 98682-8908
(360) 513-8962
Mailing address
2906 NE 145TH AVE, VANCOUVER, WA 98682-8908
(360) 513-8962

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU61237543
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NU61237543
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
04/05/2022
Last updated
04/05/2022
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