Individual
EDA V MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, MS, CD
Contact information
Practice address
4228 249TH CT SE, SAMMAMISH, WA 98029-5792
(310) 308-4463
Mailing address
4228 249TH CT SE, SAMMAMISH, WA 98029-5792
(310) 308-4463
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
913851
WA
133V00000X
Registered Dietitian
Primary
913851
—
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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