Individual
MARISSA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8301B 5TH AVE NE, SEATTLE, WA 98115-4118
(206) 799-7010
(206) 866-0204
Mailing address
12414 190TH AVENUE CT E, BONNEY LAKE, WA 98391-6027
(253) 350-5913
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
86277139
WA
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
03/10/2025
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