DENAE R. BASTIAN

EVERETT, WA
NPI1508952748
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WA  DI00001618)
Additional Taxonomies133N00000X Nutritionist
(Licence: WA  DI00001618)
133NN1002X Nutritionist, Nutrition, Education
(Licence: WA  DI00001618)
Enumeration Date2006-10-05
Last Update Date2007-07-08
Business Address
-- DENAE R. BASTIAN RD
900 PACIFIC AVE 1ST FLOOR
EVERETT, WA 98201-4168
Phone number: 425-258-7311
Mailing Address
-- DENAE R. BASTIAN RD
PO BOX 1166
EVERETT, WA 98206-1166
Phone number: 425-258-7357