Individual
NORA DELAVARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
19930 BALLINGER WAY NE, SHORELINE, WA 98155-1223
(425) 778-2220
(425) 778-7701
Mailing address
19930 BALLINGER WAY NE, SHORELINE, WA 98155-1223
(425) 778-2220
(425) 778-7701
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60839317
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI60839317
MEDICAL LICENSE
WA
Enumeration date
05/29/2018
Last updated
05/29/2018
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