Individual
MRS. MADISON O'GRADY MACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
7906 148TH STREET CT E, PUYALLUP, WA 98375-8431
(253) 720-3661
Mailing address
7906 148TH STREET CT E, PUYALLUP, WA 98375-8431
(253) 720-3661
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86167950
WA
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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