Individual
DEBRA LEA CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
11011 MERIDIAN AVE N FL 1, SEATTLE, WA 98133-8967
(206) 668-1070
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001539
WA
Other
Enumeration date
02/01/2007
Last updated
09/27/2023
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