Individual
NICOLE MERRIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
Mailing address
4805 78TH PL SW, MUKILTEO, WA 98275-2726
(425) 760-3913
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
60604201
WA
Other
Enumeration date
06/28/2023
Last updated
10/25/2023
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