TANYA ROESIJADI

RENTON, WA
NPI1619141199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WA  DI00001910)
Enumeration Date2008-04-16
Last Update Date2008-04-16
Business Address
-- TANYA ROESIJADI RD, CD
3001 NE 4TH ST
RENTON, WA 98056-4122
Phone number: 206-205-1679
Mailing Address
-- TANYA ROESIJADI RD, CD
3221 NW MARKET ST
SEATTLE, WA 98107-3322
Phone number: 206-527-7204
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