NPI | 1174037402 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER PAVES Dietitian & Owner 206-660-3225 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA DI00001163) |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: WA DI00001163) |
Enumeration Date | 2017-11-22 |
Last Update Date | 2019-06-11 |