| NPI | 1578818662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET ANN NICHOLS Owner 206-391-5479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WA 01067726) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2013-04-11 |