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Individual

MARISA KERKVLIET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSCN

Contact information

Practice address
617 E LAUREL RD, BELLINGHAM, WA 98226-9728
(360) 325-5690
Mailing address
617 E LAUREL RD, BELLINGHAM, WA 98226-9728

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
NU60780405
WA
133NN1002X
Nutrition Education Nutritionist
Primary
NU60780405
WA

Other

Enumeration date
08/25/2017
Last updated
08/25/2017
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