Organization
VIVA NUTRITION COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY NASON RD (REGISTERED DIETITIAN)
(253) 376-7792
Entity
Organization
Contact information
Practice address
13220 96TH AVENUE CT E, PUYALLUP, WA 98373-5528
(253) 376-7792
(253) 322-6227
Mailing address
13220 96TH AVENUE CT E, PUYALLUP, WA 98373-5528
(253) 376-7792
(253) 322-6227
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI00001322
WASHINGTON STATE LICENSE NUMBER
WA
Enumeration date
05/30/2019
Last updated
11/12/2021
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