Individual
MARYLOU ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
1002 E SENECA ST, SEATTLE, WA 98122-4214
(206) 957-1666
(206) 325-2689
Mailing address
1002 E SENECA ST, SEATTLE, WA 98122-4214
(206) 957-1666
(206) 325-2689
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000830
WA
Other
Enumeration date
08/29/2006
Last updated
08/15/2008
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