Individual
ELIZABETH FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
410 NEWPORT WAY NW, SUITE B, ISSAQUAH, WA 98027-3116
(425) 391-3376
Mailing address
410 NEWPORT WAY NW, SUITE B, ISSAQUAH, WA 98027-3116
(425) 391-3376
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
020710DI00000858
WA
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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