Organization
KINSHIP NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MARIE GUADAN FOGALL RDN, MS (OWNER)
(206) 650-6305
Entity
Organization
Contact information
Practice address
3717 BEACH DR SW APT 303, SEATTLE, WA 98116-3055
(206) 650-6305
Mailing address
3717 BEACH DR SW APT 303, SEATTLE, WA 98116-3055
(206) 650-6305
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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