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Individual

SELINA RENE' WASHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
410 BRADFORD LN, BELTON, MO 64012-2076
(816) 322-6933
Mailing address
410 BRADFORD LN, BELTON, MO 64012-2076
(816) 322-6933

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1728
KS
133V00000X
Registered Dietitian
Primary
2011035172
MO

Other

Enumeration date
07/30/2013
Last updated
07/30/2013
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