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Individual

JULIE A. CHURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
9500 ROOSEVELT WAY NE STE 300D, SEATTLE, WA 98115-2253
(206) 854-8959
(206) 985-2679
Mailing address
9500 ROOSEVELT WAY NE STE 300D, SEATTLE, WA 98115-2253
(206) 854-8959
(206) 985-2679

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001262
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3690CH
REGENCE BLUE SHIELD INSUR
WA
Enumeration date
12/14/2006
Last updated
07/08/2007
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