Individual
MRS. THERESA ELIZABETH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,CD
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, MS 315 M2 HIN, TACOMA, WA 98405-4234
(253) 403-1833
(253) 403-1845
Mailing address
PO BOX 5299, MS 315 M2 HIN, TACOMA, WA 98415-0299
(253) 403-1833
(253) 403-1845
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8261489
—
WA
Enumeration date
04/19/2007
Last updated
07/09/2007
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