Individual
MINDY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E.
Contact information
Practice address
1424 MASON ST, SUMNER, WA 98390-2008
(253) 394-4383
Mailing address
1917 N STEELE ST, TACOMA, WA 98406-8200
(253) 394-4383
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86074
—
Other
Enumeration date
07/02/2007
Last updated
09/20/2016
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