Individual
MARIELA PENALVERTY MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3801 150TH AVE SE, BELLEVUE, WA 98006-1668
(425) 460-7140
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61432855
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2251044
—
WA
Enumeration date
04/28/2023
Last updated
05/03/2024
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