Individual
CHRISTA DIANE FONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDR
Contact information
Practice address
10004 204TH AVE E, BONNEY LAKE, WA 98391-6539
(253) 863-7510
(253) 863-5970
Mailing address
PO BOX 2170, SUMNER, WA 98390-0480
(253) 840-2313
(253) 840-6364
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D160029159
WA
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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