Individual
KARA ANN DACQUISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
916 PACIFIC AVE, SEVENTH FLOOR, EVERETT, WA 98201-4147
(425) 303-6500
(425) 303-6550
Mailing address
909 N BROADWAY, PBO CREDENTIALING, EVERETT, WA 98201-1409
(425) 317-0264
(425) 317-0291
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI00001749
WA STATE LICENSE
WA
Enumeration date
10/06/2008
Last updated
01/30/2009
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