Individual
SHAILEE KOTHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
2116 4TH AVE UNIT 2215, SEATTLE, WA 98121-2308
(564) 654-3901
Mailing address
2116 4TH AVE UNIT 2215, SEATTLE, WA 98121-2308
(564) 654-3901
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86359171
—
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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