Individual
BRITTA L STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CN
Contact information
Practice address
1002 39TH AVE SW STE 200, PUYALLUP, WA 98373-3813
(855) 328-4543
Mailing address
4621 N VISSCHER ST, TACOMA, WA 98407-2020
(253) 273-3896
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
61035734
WA
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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